iEXCHANGE® Web Password Reset Form

   

This form should be completed by the office administrator. Providers should complete this form only if the office administrator is unavailable.

  * All fields are required
* Contact Name:
* Contact Phone Number: / /
* Contact E-mail Address:
* Current iEXCHANGE User ID:
* Current User ID:
* National Provider Identifier (NPI) Number:
* Provider Name:
 
   
   

Note:The iEXCHANGE Help Desk will send an email with your temporary password. Please allow five business days for processing