Skip to content

Client Tools
Support
- Remote Support
- General Support
About Us
Contact Us

1-800-487-9135 sales@sticomputer.com

Home
Solutions
Resources
Media
- Blog
- Newsletters
COVID-19 Updates

Change Healthcare Provider Complete Enrollment & Deactivation

Change Healthcare Provider Complete Enrollment & Deactivation

Select one of the following options to begin:

Enroll a Practice or Provider
Deactivate a Provider
Enroll for Electronic Patient Statements *Note: The Electronic Patient Statement fee per page is $0.69 for the first page, additional pages are $0.14 and NCOA is $0.35 each.*

Enroll Practice or Provider
Deactivate Provider
Electronic Patient Statements

Enroll Practice or Provider

Are you a Billing Service?*
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.

Deactivate Provider

Provider Complete - Deactivate a Provider

Billing Service (if applicable)
Contact Name*
First Last Suffix
Contact Phone*
Contact Email*
Practice Name*
Provider Name*
First Last Credentials
Provider Tax ID*
Provider NPI*
Do you wish to deactivate another provider?*
- Yes
- No
2nd Provider Name*
First Last Credentials
Provider Tax ID*
Provider NPI*
Do you wish to deactivate another provider?*
- Yes
- No
3rd Provider Name*
First Last Credentials
Provider Tax ID*
Provider NPI*
Do you wish to add another provider?*
- Yes
- No
4th Provider Name*
First Last Credentials
Provider Tax ID*
Provider NPI*
Do you wish to deactivate another provider?*
- Yes
- No
5th Provider Name*
First Last Credentials
Provider Tax ID*
Provider NPI*
CAPTCHA

Electronic Patient Statements

Electronic Patient Statements

Practice Name:*
Authorized Contact Name:*
First Last
Job Title:*
Email (You will receive confirmation by e-mail):*

About Us

For almost 40 years, STI Computer Services has been your healthcare partner providing and pioneering the latest software, technology and support to thousands of ambulatory medical practices. Learn more about how we are advancing the delivery of ambulatory healthcare for clinicians with Service, Technology and Innovation.

Solutions

Revenue Cycle Management
ChartMaker® GO
Electronic Health Records
Practice Management
eFaxing
Clinical Documentation Improvement
Chronic Care Management
ChartMaker® Mobile
Patient Portal
Managed Services

Contact Us

Corporate Headquarters 2700 Van Buren Avenue Eagleville, PA 19403 Phone: (800) 487-9135 Fax: (610) 650-9272

RCM Division 16619 Hunters Green Parkway Suite 200 Hagerstown, MD 21740 Phone: (877) 698-1700 Fax: (240) 625-9081

Syracuse Division 4312 West Genesee St Syracuse, NY 13219 Phone: (315) 488-1518 Fax: (315) 468-0977

© 2020 STI Computer Services. All Rights Reserved.