Submit a request – AMA Credentialing Support

Your email address

Subject(optional)

Primary Contact Name

Who should be contacted for follow ups?

Primary Contact Phone(optional)

State

Advantage Customer Number(optional)

Organization Name

Organization/Facility Type

Number of physicians within the organization/facility

Type of Credentialing Software

Please specify if using a different credentialing software

Physician requesting assistance - I need assistance sending a profile to a board or using AMA Profiles Hub.(optional)

AMA Profiles Hub Technical Support - I need technical support for AMA Profiles Hub.(optional)

Receive help by entering your question or a brief description of your technical issue below (including date and time issue was experienced)(optional)

If your question is about an order or payment, include your order number and/or invoice number

Learn more about AMA Credentialing Products(optional)

Tell us more about any specific interests you may have(optional)

Comments or Questions

This is a required field. Please enter any additional comments or details that are necessary to complete this request.

Attachments(optional)

Add file or drop files here