INICIO
COMPAÑÍA
Trayectoria
Nuestro Perfil
Valores & Compromisos
Miembros y Patrocinios
Alianzas de Negocio
Suplidores y Contratistas
Alianzas Educativas
Responsabilidad Social
ASSERTUS En Acción
Quiero Hechar Pa’Lante
Beca Assertus – Universidad del Sagrado Corazón (USC)
Revenue Cycle Group (RCG)
Infraestructura
Oportunidades de Empleo
Testimonios
SISTEMAS
ProClaim
Interfaz con el EMR
MedicusEHR
Telemedicina
Clearinghouse
Proveedores
Laboratorios
Hospitales
Aseguradoras
ICD-10 Helper Tool
SERVICIOS
Webinars
Adiestramientos
Credentix (Coming Soon)
Desarrolle su propia Agencia de Facturación
COMUNICACIONES
Noticias
Circulares
Eventos
CONTACTO
1+787.622.2202
info@assertus.com
VERIFICACIÓN DE ELEGIBILIDAD
LOGIN
APOYO
SOLICITAR DEMO
English
INICIO
COMPAÑÍA
Trayectoria
Nuestro Perfil
Valores & Compromisos
Miembros y Patrocinios
Alianzas de Negocio
Suplidores y Contratistas
Alianzas Educativas
Responsabilidad Social
ASSERTUS En Acción
Quiero Hechar Pa’Lante
Beca Assertus – Universidad del Sagrado Corazón (USC)
Revenue Cycle Group (RCG)
Infraestructura
Oportunidades de Empleo
Testimonios
SISTEMAS
ProClaim
Interfaz con el EMR
MedicusEHR
Telemedicina
Clearinghouse
Proveedores
Laboratorios
Hospitales
Aseguradoras
ICD-10 Helper Tool
SERVICIOS
Webinars
Adiestramientos
Credentix (Coming Soon)
Desarrolle su propia Agencia de Facturación
COMUNICACIONES
Noticias
Circulares
Eventos
CONTACTO
ASSERTUS Identity Proofing Form
General Proofing
Account Name
Provider Full Name
*
Home Address
Dirección
Apartamento, piso, edificio (opcional)
Ciudad
Estado / provincia / región
Código postal
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
País
Phone
Email
ID Information
Date of Birth
ID Type
Driver License
Real ID
US passport
Military Service ID
ID number
Expiration date
File Upload
Credentials
Medical License
DEA
DM
Facility Representative Name
Date
Provider Name
Date
Account Representative Name
Date
Comments
Internal Use
Verified
NPPES Registry
Puerto Rico Medical Discipline and licensing board
Financial Institution Confirmation
Internal Use Comments
Approved by
Address
Dirección
Apartamento, piso, edificio (opcional)
Ciudad
Estado / provincia / región
Código postal
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
País
Verification
Please enter any two digits
*
Example: 12
Esta caja es para protección contra el spam -
por favor déjalo en blanco
:
