*Please provide the following information as appropriate to the issue you are reporting:
You can copy and paste any section below into your email to help supply the data.
Password Reset / Account Locked: Please make sure you put the email account that is used to log into the system. If any other error message is received, please indicate that below.
New Account Inquiry: Please make sure you put the email account that was submitted in the registration form. Please include the DATE the registration was completed.
All new provider staff accounts with MeckLINK must complete the registration form located on this web page:
Deactivate User Account: This should only be submitted by the QA/QI Manager or the person authorized to report these situations.
SAR Issue: SAR# PatientID# (no names) Benefit Plan Service Code Dates of service Site for Service
Claim / Billing Issue: ClaimID# Claim Header# Dates of Service Method for Submitting claim: 837/UB04/CMS1500