Billing Charge Slip & HIPAA Compliant File Upload

Submit your billing logs, EOBs, and other relevant materials by following these two simple steps:

Step 1:

Download the OBB Charge Slip by clicking on the green button. Complete the form and save your changes (remember the saved name to help find it later when submitting it in the next step).

Step 2:

Click HERE to securely submit your completed charge slips, along with other relevant billing materials, to O'Brien's Billing for processing.

For Providers Submitting Via Tebra Charge Capture

Business Associate Agreement

Print & Sign For Your HIPAA Compliance Records

Download BAA