Completing electronic payer agreements is a quick and easy process. Here’s a list of things you need to be aware of before proceeding:
If you’re a new customer and haven’t received your submitter number, please contact your Implementation Specialist.
An agreement must be completed for each unique submitter number.
For example, if 3 providers are billing under the same submitter number, only one agreement is required. If 3 providers are billing under 3 different Tax IDs, 3 separate agreements will have to be filled out. If the provider is part of a group, the group’s information is required (i.e., Group Name, Group Tax ID, Group Provider Number, etc.).If an agreement requires additional steps or a signature, these must be completed (depending on the special instructions (provider actions) included for each agreement).
For example, if 3 providers are billing under the same submitter number, only one agreement is required. If 3 providers are billing under 3 different Tax IDs, 3 separate agreements will have to be filled out. If the provider is part of a group, the group’s information is required (i.e., Group Name, Group Tax ID, Group Provider Number, etc.).