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Nelco Solutions

  • SNF
  • LPC
  • SL
  • HH
  • HO
  • PC

Nelco specializes in providing W-2 and 1099 filing products and services, supporting businesses like yours in meeting year-end compliance requirements. With guaranteed compatible forms and knowledgeable guidance, Nelco enables organizations to efficiently manage year-end filing tasks. You benefit from access to authorized W-2 & 1099 forms, business checks, envelopes, and supplies that always work with MatrixCare software, all backed by responsive support throughout the ordering and filing process.

For over 60 years, Nelco has been a trusted source for business form solutions and services. With Nelco’s products and expertise, you can enhance your reporting capabilities and operational efficiency, gaining access to tax season support that simplifies form management and compliance. This allows you to focus on the tasks that matter most, while relying on Nelco for year-end filing support and resources.

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Partner's Customer Authorization form to Marketplace

Please read before completing this form(Required)

Consent to Share Data, including Patient Information between MatrixCare and the Partner Company is the company proposing this Authorization. Company has built an Integration to be able to populate data from your database(s) and/or from a static copy of your database(s) (including all facilities in an enterprise account) in the MatrixCare, Inc. ("MC") Solution that is updated from time to time, and, if applicable, bidirectionally. It is our policy to obtain consent from each of our customers before we allow their data to be shared with another company or party. We have a Business Associate Agreement in place with you, and we have been informed by MC that they also have a Business Associate Agreement in place with you for the protection of that information.

Please complete all the fields below and submit this Authorization form authorizing us to exchange data between MC and Company.

By submitting this Authorization, I, as a duly authorized representative of the Client/Customer, hereby grant my consent to the passage of data between the MC Solution and the Company Solution and represent and warrant that Customer is legally free to enter into this Authorization.

About you:(Required)
Your company information:(Required)
Primary Care Setting(Required)

Facility information for Integrations:

Click here for Customer Authorization Form FAQs to help with completing this form.
PLEASE NOTE:

You can individually add in the Facility information in the form below [Click the (+) to add multiple locations]

OR Upload a document with the facilities information. Please refer to this document for the specific formatting.

List all facilities requesting Integration
Facility Name
Facility Address
MC ID
 

ALTERNATIVELY : Upload File or list below

Accepted file types: pdf, xls, xlsx, doc, Max. file size: 50 MB.
Consent(Required)
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