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:

  • Memorial Hermann 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*
Vendor ID #*
Tax ID *
Primary Address
Address Line 1*
Address Line 2
City*
State*
Postal Code*
Phone
| add additional remittance address |
Name of Buying Organization you will be e-invoicing:
Memorial Hermann
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*
* indicates required field
We will send you a Quick Start Guide once your application has been processed.
Add Attachments
Does Memorial Hermann currently require you to send attachments along with your invoice?
(e.g. timesheets, signature approvals, or other backup documentation)
Automatic Invoice Submission
Does your organization send more than 20 invoices a month?
If so, would you like to take advantage of our automated invoice submissions capabilities?

 
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