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 Email Address:

Current iEXCHANGE 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.


Updated 04/2013