EDI Enrollment

ActivHealthCare - Chiropractic Managed Care

To enroll in EDI,

Complete the steps below by clicking on the underlined form name.

Your claims will not be processed properly unless your enrollment paperwork is faxed directly to ActivHealthCare. This does not apply to the optional Medicare enrollment documents.

Complete These Steps

Step 1: Complete the Office Ally Enrollment (link is external) on the Office Ally website by clicking on the underlined link.
Step 2: Complete the AHC EDI Provider Agreement Addendum by clicking on the underlined link. Fax the completed form to (470) 514-3697.
Step 3: Optional enrollment documents (link is external), including Medicare, are available on the Office Ally website.

EDI Enrollment

To enroll in EDI,

Complete These Steps

Get your Questions Answered

ADDRESS

CONTACT

SUBSCRIBE TO OUR EMAIL NEWSLETTER