After completing the online claim submission or account assignment form, please ensure you forward all of the supporting documentation that identifies the debtor(s) and substantiates the debt that you are assigning to us for collection.

Supporting documentation includes items such as:  bills, invoices, credit application(s), contract(s)/agreement(s), work order(s), patient intake and financial responsibility forms, NSF check(s), driver’s license and insurance cards.

All supporting documents can be sent to us in one of three ways:  (1) scanned and emailed to; (2) faxed to 516-430-5015; or (3) securely uploaded directly to our server using the file uploader below.  It is highly recommended that documentation for medical accounts only be sent through our secure file uploader.

Please note the file uploader only supports PDF and XLS files. 

Click “Select File” to browse for the file on your computer.  Click “Upload” after you select the file you want to send.  It may take a minute to securely upload depending on the size of the file. 

Upload files