Welcome to the Direct InvoiceTM Enrollment Form

Benefit to You:

Electronic invoicing enables prompt payment, reduces costly paperwork and errors, and helps resolve disputes rapidly. We look forward to simplifying your life with Direct InvoiceTM !

Enrollment Process:

  • Mayo Clinic will review and approve this information
  • Once approved, your account will be activated within 5 to 10 business days
  • Once your account is activated, you will receive a welcome e-mail
  • The welcome e-mail will contain:
    • A Quick Start Guide from Direct Commerce
    • Your E-Invoicing account user name and password
    • Please SAVE the welcome email for future reference
  • After you have been activated you can send invoices electronically via Direct InvoiceTM

Please fill out form below:

DIRECT COMMERCE, Inc
Direct InvoiceTM Enrollment Form
Your Company Information
Company Name*
Tax ID *
Primary Address
Address Line 1*
Address Line 2
City*
State*
Postal Code*
Phone
Your Accounts Receivable Contact Information
Please note: This should be the individual at your organization responsible for your company's billing.
First Name */ Middle Initial / Last Name *
Title
Mailing Address (if different from above)
City
State
Postal Code
Email Address*
Reenter Email Address*
Phone*
Fax*
Please include an Invoice Number from an invoice paid in the last 90 days
* indicates required field
We will send you a Quick Start Guide once your application has been processed.
Add Attachments
Check here if Mayo Clinic currently requires you to send attachments along with your invoice.
(e.g. timesheets, signature approvals, or other backup documentation)
Automatic Invoice Submission
Check here if your organization sends more than 50 invoices a month.
Would you like to take advantage of our automated invoice submission capabilities?

 
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