Get Hillinsite

Filling out the Hillinsite form is an essential step for accessing the electronic solutions provided by Hill Physicians. This guide will walk you through the process clearly and systematically, ensuring that each required field is addressed properly.

Follow the steps to complete the Hillinsite access request form.

1. Click the ‘Get Form’ button to obtain the form and access it in your document management system.
2. Begin by entering the name of your provider(s) or practice(s) in the designated field. Ensure accuracy to avoid any processing issues.
3. Provide the Tax ID Number(s) for your practice. This is essential for identification purposes.
4. Enter the NPI Number(s), which are necessary for your practice's electronic transactions.
5. Fill in your email address. This will be used for all communications related to your access request.
6. Include your mailing address, ensuring to add the full practice name and suite number, if applicable.
7. Add a valid phone number where you can be reached for any clarifications.
8. If applicable, provide your fax number for additional communication needs.
9. Specify the practice management system version you are utilizing, particularly for electronic claims setup.
10. Indicate the electronic claims clearinghouse you are using, if applicable.
11. Request user accounts by providing usernames for up to four users. Each username must be between 6-10 characters, free of special characters and spaces.
12. Complete the fields for each user, including their name, title, and desired username.
13. Review the eSolutions listed and confirm the access you wish to obtain. Indicate requests for additional solutions if desired.
14. If requested, check the appropriate boxes to indicate specific solutions you are interested in, understanding that follow-ups may occur.
15. After completing the form, print it and hand it to your Practice Support Advisor or submit it via fax to the appropriate number listed for your region.
16. Lastly, ensure all information is accurate before saving changes, downloading, or sharing the form as necessary.

Complete your Hillinsite access request online today for a streamlined experience.