CIC Bills Processing

Carisk Intelligent Clearinghouse Registration

Already Have an Account? Login Here

To Create a CiC Account and Begin Electronic Billing for Workers' Compensation and/or Auto Claims, an Authorized Representative Must Enter the Requested Information Below.

Once Registration is Complete, You May Log into Your Account. The CiC “Setup Wizard” will Help You Complete Your Account Setup.

Registration

First Name

Last Name

Full Organization Name

Account Username Handle Note: the account handle will be part of every user's name. It should be a nickname that represents the account as a whole, not the person registering.

Contact Phone Number

E-Mail Address

Confirm E-Mail Address

Password

Confirm Password

Submission Type

Billing Company Name

Tax ID Number

Organization Address

Requested Demo Date

City

State

Zip Code

Approx. # Monthly Bill Submissions

Approx. # Rendering Providers

Approx. # Service Facilities

HIPAA Business Associates Agreement / NDA
CIC Software User License Agreement / NDA

I have read & agree to the terms & conditions of the HIPAA Business Associates Agreement / NDA
I have read & agree to the terms & conditions of the CiC Software User License Agreement / NDA

Carisk Intelligent Clearinghouse Registration

Registration

CONTACT INFO