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UB-04 Add Billing Provider Signature

Need to capture a provider signature?

You have two options. You can email the signature in any file format to When the signature is formatted and uploaded, DaisyBill will send you a confirmation email.


It can be even easier! Follow the instructions below to add a rendering provider’s signature directly to DaisyBill.

Step 1. On the navigation bar, click ‘Billing Providers’, then select ‘Manage Billing Providers’

The Manage Billing Providers feature is limited to users with the Role of Organization Admin.

Step 2. Click the ‘Billing Provider’ name

For DaisyBill accounts with multiple Billing Providers, DaisyBill maintains separate Provider lists for each Billing Provider.

Step 3. Click the ‘Billing Provider Information’ card  

A green ‘Checkmark’ icon in the lower right corner of the card indicates Billing Provider Information has been completed for the Billing Provider.  A red ‘X’ icon indicates Billing Provider Information has not been completed.

Step 4. Click ‘Add’ and draw a signature with your mouse, then click the ‘Save’ button

Easy as pie!

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