You should complete the patient and physician information. The patient information should be fake. For the physician information, utilize your own physician or a local physician, looking this up using the NPPES site. If you’re having trouble editing the document, please watch this short video that shows how to do so:
I’m interested in offering an ancillary service. Now what?
Please reach out to us and let us know which ancillary service you are interested in offering, and we will connect you with the appropriate