eQHealth Solutions Customer Service:
Monday - Friday (except Florida state recognized holidays)
8:00am - 5:00pm (ET)
855-444-3747 (toll free phone)
855-440-3747 (toll free fax)
How To Enroll As A Provider To Submit Reviews Online Using eQSuite
1) Find and download the appropriate Contact Form below for your service type.
2) Fill out the contact form, making sure that it is legible and knowing that the system administrator will receive an email with the initial username and password once the Contact Form has been processed.You may fax, email or mail this form in. FAX 855- 440-3747 EMAIL: firstname.lastname@example.org
3) After receiving the email with the username and password, the system administrator will then have access to login and to submit requests online. The system administrator can then assign additional usernames and passwords to those under that provider Medicaid number assigned. For more information regarding the System Administrator, please see the link below.
4) If you need further assistance with the process, please call customer service at 855-444-3747 or EMAIL: email@example.com
Please note that if you are submitting Ultrasounds, Biophysicals, CDC+ reviews, Care Coordination requests or, Multispecialty requests, these are not currently submitted online and instead should either be faxed or mailed in. Authorization forms are under Forms and Downloads under each appropriate tab at the top. Thank you.
Dental Contact Form.pdf
Diagnostic Imaging Contact Form.pdf
DME Contact Form.pdf
Home Health Contact Form.pdf
Inpatient Contact Form.pdf
Physician Contact Form.pdf
Personal Care Services Contact Form.pdf
Statewide Inpatient Psychiatric Services (SIPP) Contact Form.pdf
Therapy Provider Contact Form.pdf
System Administrator Guide.pdf