Renal Healthcare HIE Support Request Form


The information source for renal dialysis organizations and electronic health record (EHR) vendors contracting with the Renal Healthcare HIE to submit EQRS data for end-stage renal disease patients.



Need help? Submit a Renal Healthcare HIE Support Request Form to report and receive assistance with contracting, registration, data submission and technical issues.


How to use the Renal Healthcare HIE Support Request Form

The Renal Healthcare HIE Support Request Form contains several sections that need to be completed prior to submission. To use the Support Request Form, do the following:

For more information on using the Support Request Form, review the user guide below.

Renal Healthcare HIE Support Request User Guide