Fiserv

AuthentiCare® EVV Onboarding Process

Thank you for choosing AuthentiCare as your EVV Solution. To begin your Onboarding Process, you must first determine who your Provider EVV System Administrator and Signature Authority is for your organization (they can be the same person).

Click the appropriate button for your organization structure

If your Provider EVV System Administrator and Signature Authority are the same person (name and email address are the same), click below to complete the EVV Provider Onboarding Form using DocuSign. The Onboarding Form requires two signatures from the person.

EVV Provider Onboarding Form (One Name)

If your Provider EVV System Administrator and Signature Authority are two different people, click below to complete the EVV Provider Onboarding Form using DocuSign. The form will be available to the first signer (Provider EVV System Administrator) and once the first signer completes and signs the form, DocuSign will automatically route the form to the Signature Authority for signature.

EVV Provider Onboarding Form (Two Names)

Once we receive and verify your information, an AuthentiCare representative will be in touch to schedule your enrollment and training appointments.

The Onboarding Form requires two signatures – one from the Provider EVV System Administrator and one from the Signature Authority.

The Provider EVV System Administrator will be the individual who will be responsible for the EVV Solution on a day-to-day basis and working with the AuthentiCare team on all EVV matters.

The Signature Authority for the organization is typically the person who has legal authority to sign contracts and makes decisions for the organization.

For Onboarding Assistance

If you have questions about the Onboarding Process, please contact AuthentiCareTXSupport@firstdata.com.