Admin Contact Form Now Hiring State-Wide Make A Referral Areas We Serve Frequent Questions Make A Payment Δ Please complete separate forms for different issues. Don't put everything into one form or it something may get missed. Thank youName(Required)Admin you need help from(Required)Select OneAmber - Authorizations and Treatment Plan AdjustmentsAnnie - New Client FormsAubrey - Insurance Related QuestionsClient Assignment Team - Client not Assigned or Need More ClientsLeria - Credentialing and InsuranceRoss - VA and Paystubs (not actual pay questions)Unsure - All Other QuestionsGeneral issue you need addressed(Required)Question about a NEW ClientQuestion about an EXISTING clientThinkHealth Error (upload screenshot of error message)Questions about billing or payroll not related to missing payments or denialsQuestion or Problem with a room reservationQuestion about a VA AuthorizationOtherPlease make sure you select question about New or Existing client if the question is specific to one client. This allows you to provide all the information we need to look up that client for you. Selecting anything else may cause delays in receiving an answer. Please Note: Forms sent to "Unsure" take more than 2 business days to address. You can join Becca's Office Hours on Weekdays at 1 PM for faster resolution.Client First Name(Required)Please enter legal name as stated on the client's insuranceClient Last Name(Required)First 5 letters. Please enter legal name as stated on the client's insuranceClient Insurance ID Number(Required)Please Explain What You Need Help With(Required)Provide as much detail as possible to endure faster resolution Please provide as much detail as possible in order for us to assist you more quickly.(Required)Upload any screenshots or documents that will help us assist you more efficiently(Required) Drop files here or Select files Max. file size: 50 MB. Upload any screenshots or documents that will help us assist you more efficiently Drop files here or Select files Max. file size: 50 MB. Email(Required)
