• Product Enrollments/conversions 

and/or sending enrollment link

• Payments Portal Access/Sending 

Registration link 

• Updating the Email Address 

• Updating primary fax on file or 

Alternate Fax Procedure for Third 

Party Billers

• Updating payment related 

notifications

• Updating National Provider 

Identifier (NPI)

• • Using the NPI info provided by the caller

• SSO Request

• Updating Provider Name

• Updating Contact Name

• Updating Contact Title

• Updating Phone Number

• Updating Provider’s Address in demographics

• Administrative Update *

• Updating Clearinghouse *

• Opt-Out Request *

• *You must ensure the caller is an 

Authorized Decision Maker for that 

Provider’s office

• First and Last name of the person who validated the request:

• Title of the person who validated the request:

• Source URL:

• NPI Registry Update within 90 days (Yes/No):

• Telephone Number(s) dialed:

• First and Last name of the requester:

• Title of person of the requester:

• Email address:

• Decision maker status (Yes/No):

• Code:

• Brief summary: