Forms
- Provider registration and changes form Use the Provider Details & Direct Credit Authority Form to register your provider numbers with AH... Last updated:
- Change of registration details form The Change of registration details form was previously used to request changes to provider regist... Last updated:
- Account summary form (batch header) This form acts as a batch header. If you are submitting your claims manually and not using Eclips... Last updated:
- Doctor account This form can be used as an invoice template if you are submitting your claims manually and not u... Last updated:
- Estimate of fees Use this form to provide patients with an estimate of medical fees prior to their procedure (or a... Last updated: