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Payor Enrollment Forms
To initiate the EDI enrollment process, please fill out the Provider Profile and fax to 888-202-2140.

Note: To avoid processing delays and additional administration charges, you must include your Medicare enrollment letter and the 1st page of a Medicare EOB.

Document
Provider Profile
PHI Business Associate Agreement
Print Business Associate Agreement, sign and fax our copy to 888-202-2140.

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BAA
Parathon Web Tool User Tips
Document
PWT User Tips
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