- - Specify the host IP address for QuickPractice's electronic billing server.
- - Specify the host port number for QuickPractice's electronic billing server.
- - Enter your unique QuickBilling Username (supplied by technical support agent).
- - Enter your unique QuickBilling Password (supplied by technical support agent).
- - Enter your unique (supplied by technical support agent).
- - Click to send a registration request for Submitter ID.
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