Contact CORE

TEL: 1-888-587-3263
FAX: 1-866-676-4073

Reimbursement Forms and Documents

Click on any of the images below to download the form. You can print or save the document to your computer. If you don't have Adobe® Reader® you can download it for free at the Reader® download site

Enrollment form
completed electronically

Interactive MAZE patient guide

Traditional Enrollment form

Reimbursement Process Brochure

MAZE patient guide

HIPAA Information: This site is being offered to you, the healthcare provider, on behalf of your patients, with the understanding that you have obtained signed permission from your patient to provide their information to CORE. Any information submitted to CORE will remain confidential and will not be used for promotional purposes. If you would like to learn more about protecting the privacy of personal health information, please go to the U.S. Department of Health & Human Services at http://www.hhs.gov/ocr/hipaa/.

United States Residents: Disclaimer: These sections are intended to provide information for residents of the U.S. only.