Request to Onboard a New Client

Business Name*
Please add Big Sky Billing to your account so we can have access to claims. Thank you
Do you have an Availity account?*

YesNoUnknown
Please add Big Sky Billing to your Availity account so we can have access to claims. Thank you
Do you have an Optum Pay/Financial account?*

YesNoUnknown
Please add Big Sky Billing to your Optum Pay account so we can have access to claims. Thank you
Do you have accounts with any of the following EFT/ERA companies

CAQH enrollhubEchoEmdeon/Change HealthcareInstamedPNC (rad.pnc.com)Red CardVPayZelisOther
Please upload a word or excel document with the login, password, security questions, and websites for every site that you check marked.*

Browse Files

Cancelof
Thank you for providing us with this information. It will make things easier for us to obtain missing ERA information.
Should be Empty:

Thank you for providing us with this information. It will make things easier for us to obtain missing ERA information.