1
Account Details
2
Registration
3
Other Information
4
Review and Submit
Account Information
Company Name
*
Account ID
Primary Business Street Address
*
Country
*
City
*
State
*
Zip Code
*
Software & Services Used (select up to one of each, write in additional choices below):
EHR Software
-
CGM APRIMA
CGM CLINICAL
CGM eMDs (Solution Series)
CGM ENTERPRISE EHR
CGM LYTEC
CGM MEDISOFT
CGM PLUS
CGM PRACTICE PARTNER
CGM webEHR
Practice Management Software
-
CGM APRIMA
CGM CLINICAL
CGM DAQbilling
CGM eMDs
CGM ENTERPRISE PM
CGM LYTEC
CGM MEDISOFT
CGM webPRACTICE
Lab Management Software
-
CGM AP EASY
CGM LABDAQ
CGM MEDICUS
CGM SCHUYLAB
Revenue Cycle Services
-
Billing Services
Coding Services
Credentialing Services
Enrollment Services
Credentialing & Enrollment
Multiple (Specify Below)
EDI Clearinghouse
-
eMEDIX
Additional CGM Solutions?
Fields marked with
*
are required
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