Illinois Early Intervention Program (EICBO)
Please follow the Enrollment Instructions below to become an electronic submitter to Illinios Early Intervention Program (EICBO)
Special Enrollment Notes:
Submitters must be the billing provider. Billing services may not enroll themselves as submitters.
Solo providers = Billing providers
Group Practices = Billing provider (*Rendering providers cannot be submitters)
NOTE: BEFORE YOU EMAIL US THIS INFORMATION, MAKE SURE YOU HAVE PURCHASED THE SOLACE SOFTWARE FROM AXIOM SYSTEMS, INC OR HAVE TALKED TO SOMEONE FROM THE AXIOM SYSTEMS, INC SALES DEPARTMENT @ 602-439-2525.
To enroll for a Submitter ID with EICBO so that you may use your SolAce Jr account to transmit your claims, please answer the following questions in an email and send it to the SolAce Support Team:
• Name/Business Name: ___________________________________________
• Primary Contact Name: ___________________________________________
• Phone Number: _________________________________________________
• Email Address: __________________________________________________
• TAX ID #: _____________________________________________________
Please return this information by email to:
Subject Line: EICBO Submitter ID Enrollment