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
YesNoUnknown
Please add Big Sky Billing to your Availity account so we can have access to claims. Thank you
YesNoUnknown
Please add Big Sky Billing to your Optum Pay account so we can have access to claims. Thank you
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.