Support Case Submission
This form is
configured to handle patient data. Please
submit Protected Health Information through this form. If sharing PHI is required to escalate your request please contact
First and Last Name
Urgency - Please select the statement below that best represents your request.
Configuration question. No significant loss of function
Minor loss of function resulting in inconvenient usage
Severe loss of function and no available workaround
Complete loss of function and no available workaround, resulting in critical business interruption (platform outage, downtime, etc.)
Identify the source of the issue or question (Platform).
If your inquiry spans multiple platforms, please note this in the description.
(Ex: I’m not able to update information in the DataManager)
(Ex: Provider information is wrong on Healthgrades)
(Ex: There’s an issue with pulling reports)
(Ex: I’m not seeing new survey data / reviews displaying for Dr. John Doe)
Find-A-Doctor / Directory
(Ex: I’d like to update a banner on our website)
(Ex: I am experiencing WiFi issues using the chromebook)
(Ex: The review links are not showing in the text messages to patients)
(Ex: The companion app won’t open on my desktop)