Inactivity Warning: You will be logged out
!
Need Help?
You can ask your question or report an issue below.
Reason for Contacting Us:
Check all that apply...
Error or Problem
I am receiving an error page or have a problem entering, viewing, changing or deleting data.
Question
I have a question about how to use the site or a particular feature of the site.
Suggestion
I have a suggestion for a new feature or enhancement to an existing feature.
Sending Data
I need to or have been requested to send patient, practice or payment information.
Uploading Data
I need to or have been requested to upload a file, such as a spreadsheet, containing patient information.
Other
I am contacting support for another reason. (Please describe in detail below.)
Your Name:
Your Email Address:
Your Phone #:
Your Question/Problem:
Additional Details:
Please provide as many specific details to help us resolve any problem, error or question about the site, including...
What data you were specifically working on.
What page you were on.
What data you entered.
What button or link you clicked.
What error message was displayed.
Upload a File:
(No file selected)
Click to Select a File
You may upload a file to accompany this request, such as a screen shot, spreadsheet or other file.
BEFORE YOU CLICK SUBMIT:
If you are using this form to send HIPAA-sensitive information, such as patient identifying information, check this box to ensure that no data is sent via email or other insecure communication methods.