Upload Documents

This page allows you to upload documents for patients:

Provider Tax ID – Provider Tax ID.
Document Type – Name of the document.
Patient Account Number – Account number assigned to the patient by the Provider.
SSN/Member ID – Social Security Number of the participant (unless a unique nine digit ID appears on the participant's ID Card).
Patient Full Name – Full name of the patient.
Message – Message for this selected patient and document type.
Choose File – Select a file to upload, accepted file formats are .pdf .tif .jpeg .jpg .png and .bmp. To upload more document(s) for same or another patient, repeat the above steps.

When complete, select

If you are successful in submitting your document(s), you will see the following message:

Thank you for uploading the documents. To upload more documents click here.

You will receive an email acknowledging the submission of these documents.