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

An asterisk (*) indicates a required field.

*All Fields Are Required
* Contact Name:
* Contact Phone Number: / /  
* Contact E-mail 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.