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ediLive! Sign Up Page

ediLive! subscription is billed out at $80.00 per provider per month. This fee includes unlimited electronic claims filing. In addition to the monthly service fee, there is a one time set-up fee of $500 which includes software set-up, account set-up, and onsite training in locally served areas. Plese see your ediLive! Service Agreement for any possible additional charges.

Please select the number of providers below and click the PayPal subscription link to sign up. You will be charged the $500.00 set-up fee as your deposit (listed as first month on PayPal billing form) and then you will be billed for the monthly subscription, beginning one month from today.

ediLive! without Remittance, Texas Providers:
Please select the number of Providers:
The fee seen on the next page will include Texas State sales tax.

                             

ediLive! with GOV Remittance, Texas Providers:
Please select the number of Providers:
The fee seen on the next page will include Texas State sales tax.

                             

ediLive! without Remittance, Non-Texas Providers:
Please select the number of Providers:

                             

ediLive! with GOV Remittance, Non-Texas Providers:
Please select the number of Providers:

                             

 
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