With the form completed, Aledade is ready to take the next step in ensuring that payments related to the ACO REACH program are timely and accurate.

In order to ensure there are no payment delays associated with the program, we require your banking information. Please note, you were indicated, within the QuickCap user access form, as the designee for inputting your respective practice’s banking and/or financial information. If this is in error, please complete the following form again with the corrected information and select the checkbox at the bottom to indicate resubmission.