What is the Supervisor Attestation Form for the Billing and Reimbursement Certificate Program?

To earn the PTCB Billing and Reimbursement Certificate, you need to submit the Supervisor attestation form. This form confirms that you meet the eligibility requirements. Your supervisor, who directly oversaw your Billing and Reimbursement activities must fill out the form.

You can submit the form by logging into your PTCB Account.

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If you need additional assistance after reviewing the information above, please submit a help request or contact us by phone at 800-363-8012. Our Customer Service team is available Monday through Friday, 9am to 9pm ET and Saturdays, 11:30am to 4pm ET.

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