Existing Practice Logins

Clinic Name*

Are you changing Software?*

YesNo

Are we going to clean up any of your outstanding AR on your old software and/or do you want to provide us access to your old software?

YesNo

OLD SOFTWARE-Which of the following login and passwords do you need to provide us with?*

EMRPractice ManagementClearinghouseSite ID or URL

Please provide us with the name of your old EMR, Practice Management, and/or Clearinghouse. Please include any Login, Passwords, and URL's that we need to access these sites.*

Old Site ID or URL*

Do you have a Clearinghouse?

YesNoBig Sky Billing is setting it up for me

Name of Clearinghouse*

Clearinghouse*

LoginPassword

Clearinghouse URL*

CURRENT/NEW- Please list the Software you are using.*

HelloNotes- Please provide us with a login and password. For the email please use jills@bigskybilling.com

Office Ally- Please provide us with a login and password. For the email please use jills@bigskybilling.com

Heno Software- Please email Bobby at bobbyg@bigskybilling.com that you are requesting an email address for software setup on Heno. He will respond to you with an email that we have created specific to your office. Once completing our user setup please email the Login and Password back to that same email address. Thank you.

Jane Software- Please email Bobby at bobbyg@bigskybilling.com that you are requesting an email address for software setup on Jane. He will respond to you with an email that we have created specific to your office. Once completing our user setup please email the Login and Password back to that same email address. Thank you.

Prompt Software- Please email Bobby at bobbyg@bigskybilling.com that you are requesting an email address for software setup on Prompt. He will respond to you with an email that we have created specific to your office. Once completing our user setup please email the Login and Password back to that same email address. Thank you.

PTEverywhere Software- Please email Bobby at bobbyg@bigskybilling.com that you are requesting an email address for software setup on PTEverywhere. He will repond to you with an email that we have created specific to your office. Once completing our user setup please email the Login and Password back to that same email address. Thank you.

Heno Software*

LoginPassword

WebPT Software*

LoginPassword

We do not bill directly on your software so we will be providing you with an Office Ally username and password once we get you signed up.

Name of Clearinghouse*

Clearinghouse*

LoginPassword

Site ID*

Eclinical Works- Please create a password as example bigskyjane (replace jane with the first word of your business name) Password should be P@ssword01. We will chang it once we login.

URL*

Are you giving us access to your old Software?*

YesNo

Theraoffice software-please create our user with the following information:

Login: jsimmons

Password: P@ssword01

We will change the password once we login. Also please give us full admin rights so that we can do billing setup which is sometimes done in that module. We also need reporting as we run multiple reports on a regular basis. If you want us to be able to consult you on your business model then please give us access to Enterprise. Thank you.

Other Software: Please list software name, login, password, and URL.*

Software*

LoginPassword