Addition Requests

To add information in Agile, complete and accurate data is required to ensure the quickest completion time.  Your help in submitting complete information is appreciated.
 
Insurance/Payer:
Insurance name from the card often indicated by “Mail to”, the ‘mail claims to’ address from the back of the card, the electronic payer ID number (if available), the phone number and  the product type (i.e. commercial, auto, worker’s comp, Medicare etc.)
Physician:
Name, credentials (MD/DO), license number (if available), NPI number, office mailing address, office phone number, office fax number
Employer:
Company name, company address, phone number and fax number if available