This page provides for entry of questions for providers and payees regarding current enrollment information.
Warning: Do not send confidential information in an e-mail. If you need to discuss confidential information with HFS, please contact Network Services.
Field Name |
Definition |
Validation Rules |
Field Type |
|
To |
the receiver's e-mail address |
N/A |
Display Only |
|
From |
your e-mail address |
Required. |
Text Box |
|
Subject |
the subject of your e-mail |
Required. |
Text Box |
|
Message |
the text of your e-mail message |
Required. |
Text Box |
Contact Information