Add new user to existing Provider account
By completing this information, you are certifying that you work directly for the Provider and are not a third-party biller or vendor.
Please note that this process will only result in a new user being created for an existing EDISS Connect account and not the creation of a new EDISS Connect account.
- Any NPI number associated with the account
- Submitter ID associated with the NPI entered
- Tax ID/SSN associated with the NPI entered