This provider information form is used to capture key information about your provider account with your payer (HFS). This information allows us to send your claims electronically with the correct billing and coding information to avoid rejected claims.
When to Use This?
Use this form after your initial sign-up to Vylet, or when something changes in your provider account with your payor such as:
Rates
Provider Name or Number
Provider Address
FEIN Number or Tax ID
Tax Status (LLC, Corp. etc)
and any other billing related info
Provider Information
...an important part of your electronic billing process.