Credit Application

In compliance with the ESIGN Act, a printable version of this form is available.
Corporate Office:
10281 South State Street
Sandy, Utah 84070
Phone: 800-726-3117
Fax: 888-689-3155
Bakersfield Office:
4937 Standard Street
Bakersfield, CA
TERMINALS
ASSETS
CLIENT PORTAL
CAREERS
CONTACT​
​ADA Compliance
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
Reno Web Design