Remittance Agreement Form Change for CPIDs 3815 and 3596 Physicians Health Plan of Northern Indiana
CollaborateMD Blog
The following payer has changed their Remittance agreement form due to a routing change:

•3815 Physicians Health Plan of Northern Indiana - Professional
•3596 Physicians Health Plan of Northern Indiana - Institutional

Effective immediately, providers already approved to receive remittance transactions through the clearinghouse must complete a new agreement form.

To access the new agreement form, please visit our website at http://www.collaborationcompass.com, click Payer, and Payer Agreements Library.

Action Required: Already approved providers must re-enroll for this payer to continue receiving remittance. All 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.