To Register for Edifecs Compliance Online fee based subscription service, please complete the Registration Form and then click "Submit".
Someone will contact you to process a credit card payment, or you may print a copy of the completed Registration Form and mail this along with your check to:
Edifecs, Inc
Once we have received your payment, we will activate your service and you will be notified via e-mail.
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-- Select One --
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Subscription Fee*
Physican / Group / Dental - $750
Hospital / Institutional Provider - $1,500
Employer - $3,000
Payer / Plan or Clearinghouse - $7,500
Vendor/Non-Provider - Contact Edifecs
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If you choose payment by Credit Card, please download the Credit Card Authorization Form and either email to info@edifecs.com or mail to the address above. If you choose payment by check, please print this page before clicking "Submit". This will serve as your invoice.
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