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Agreement
Welcome
 

  Latest News :
 
  08.06.2008
  LESCO Solutions, LLC is a North   Carolina.
 
  08.06.2008
  LESCO Solutions, LLC is a North   Carolina.
 
 
  Get Started Form
 
  Practice Information
 
Practice Name*
Provider Name(s) and Credentials
Office Physical Address
Pay -to- Address
Fax Number*
Email Address*
  Provider Numbers
 
Provider Number
Tax ID Number
Tax ID Type (EIN or SSN)
BCBS Group
BCBS Individual Number
Medicare Group #
Medicare Individual #
Medicaid Group #
Medicaid Individual #
Group NPI
Individual NPI
Other Providers Numbers (list payer name and provider numbers, including group numbers if applicable
  Web Access
 
 
  Select Claim Package*
   Select Claim
 
  Yorkie (less then 10 claims per week)
  Terrier (less then 50 claims per week)
  Boxer (less then 150 claims per week)
  Doberman (less then 450 claims per week)
Great Dane (more then 1000 claims per week)
  Authorization
 
  Consent to receive communcations via email, phone, and fax from LESCO, LLC
  Understand LESCO's fees as outlined on the "Fee Schedule" on the Service page of our website.
  Understand the cancellation policy
  Understand that monthly claim purchases must be used in teh month purchased, i.e. unused claims will not rollover for credit in the next month.
  Providers who cancel service with LESCO understand that they are responsible for the minimum monthly fees per LESCO fee schedule for the month in which cancellation notice is given.
   
 
 
 
 
 
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