You have made the decision to outsource your billing needs to MPMS. You will need to complete the following information in order to get started: the Provider Enrollment Form and the Billing Services Agreement. In addition to those 2 forms, we will need the following documentation from your office:
- Copy of your current professional license
- Current Malpractice Facer Sheet
- IRS CP 575 form
For your convenience, MPMS accepts VISA and MASTERCARD. If you are paying by credit card you will receive an invoice on the first of each month and your credit card will be billed on the 10th of the month. Please print and complete the Credit Card Authorization form and fax it to Melissa at 724-387-2456 to start the credit card billing process.