Adding Locations or Providers

To add additional locations or providers to an existing contract, please:

  1. Make a copy of this roster template (download and complete on your computer)
  2. Save it as a .CSV file
  3. Email it to

We'll get started and reach out with any questions.

We're proud of our 97% satisfaction rating with providers, and we’re here to help. If you have any additional questions or support needs, you can reach us via online chat at, email at, or by phone at (833) 726-2123 Monday through Friday, 7:00 AM to 7:00 PM Central Standard time.