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RESOURCE HUB

SUBMIT HELP DESK TICKET

Need to submit a new HelpDesk ticket?

Utilize the categories below to find the form that best aligns with your service needs.

Technology

IT Support

Report any IT-related issue through the help desk here.

All Information Technology Requests

SalesPilot

Sales Pilot Support

Sales Pilot Trouble? Suggestion? Let us know.

All Sales Pilot Requests

HumanResources

Human Resources:

General Inquires

See someone living out our core values? Nominate them!

Employee Core Values Recognition

New Phone... who'dis? Keep your details up-to-date!

Update Your Personal Information

Questions about our Tuition Reimbursement Program? Let us know.

Tuition Reimbursement Program

Ask your payroll questions through this form.

Payroll Questions

Core benefits questions; Health, Dental/Vision, Life.

Benefits-Related Questions

Any topic not covered above, ask your questions here.

General HR-Related Inquiries

Human Resources:

Management and Talent Acquisition Inquiries

Found the right candidate? Let's get them an offer.

New Hire Offer Request

For the documentation of any required disciplinary actions.

Disciplinary Actions

Internal promotion or transition? Let’s get them an offer.

Transition Request

Have a hiring need? Start the process of filling the role.

Backfill/New Headcount

Know someone that would be a great fit in the organization?

Employee Referral Form

Complete when an employee leaves the company.

Employee Termination

Marketing Support

Official Rehab Medical marketing materials request form.

Rehab Medical Sales Materials

Official Cork Medical marketing materials request form.

Cork Medical Sales Materials

Marketing Support
Payer Relations

Payer Relations Support

Request access to the Payer Relations portal.

Portal Access Request

Submit support requests for denied claims.

Claim Denial

Confirm provider participation or network status.

Network Inquiry

Request an update to a payer’s mailing or billing address.

Payer Address Update

Submit new contracts or updates for review and processing.

New Contracts / Amendments

Add a new payer or insurance plan to the system.

New Payer / Insurance into BT

Report and resolve Eligibility Response Loop (ERL) issues.

ERL Rejections

Assistance with electronic claim files or remit notifications.

E-Claims and ERNs

Submit provider credentialing or recredentialing requests.

Credentialing / Recredentialing

Facilities

Facilities Requests

Ensure your workspace stays functional, comfortable, & productive.

Facilities Requests

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