Remittance Agreement Form Change for CPIDs 1565 and 2786 Prime West
CollaborateMD Blog
The following payers have changed their Remittance agreement form:

• CPID 1565 Prime West - Institutional
• CPID 2786 Prime West - Professional

Providers already approved to submit and receive transactions through the clearinghouse do not need to complete a new agreement form.

To access the new agreement form, please visit our website at, click Payer, and Payer Agreements Library.

Action Required: None for existing providers. New providers should begin using the new agreement form in the Payer Agreements Library immediately.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.