PayerSync Onboarding

You’re one step closer to faster payer payments! We recommend completing this form on a desktop and gathering the documents you need before you begin – your work won’t be saved if you close the browser window before you submit. 

• Practice Information
  • Legal Business name
  • Business open date
  • Federal Tax ID #
• Practice Owner(s) Personal Info* (all parties with >25% ownership)
  • Date of birth
  • Physical home address
  • Social security number
  • % of ownership
• Practice Payer Payments Activity (amounts do not pertain to patient payments)
  • Annual volume of claim payments processed
  • Average claim payment value
  • Highest claim payment volume
• Practice Banking Information
  • Bank name
  • Bank account #
  • Account routing #
  • Digital copy of voided check or bank verification letter

Have questions or need support? Email hello@payersync.com or call 1-888-992-0273.