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Electronic Claims Processing Forms

All forms and agreements are in Adobe Acrobat format. If you do not have Adobe Acrobat Reader installed on your computer, please install it now by clicking on the logo below.

 

  • Emdeon Payer List - View a list of current electronic payers
  • Enrollment Forms - This is required to enroll with Emdeon.
  • EMC Agreements - Download EMC agreements for your state. These are required if you want to submit claims to Medicare, Medicaid, BCBS, Railroad Medicare, and Champus.

 

 

Please contact us via toll-free phone at 1.800.309.2708, email or live chat
if you have any questions regarding Electronic Claims Processing.