Quick & EZ

Getting your company's debt collection process started couldn't be easier. Just follow these
three quick steps, and you'll be on your way. If you have any questions, please feel free to contact us.

1) Download

If you are a new client, simply download and fill out an Agency Agreement. If you are a Health Care Provider, please fill out a HIPAA Agreement as well. Once we receive your agreement(s), a Representative from Central Collection Corporation will contact you with instructions on how to submit your accounts.

• Agency Agreement*

• HIPAA Agreement (health care clients only)*

*To have Central Collection Corporation act as your agent, these forms only need to be submitted once at the time of initial application.

If you are already a client, and need to place accounts with our office, please click here:

If you do not have your Client ID, User Name or Password or simply have forgotten them, please contact us at (262) 754-2222 and we will be happy to reissue you new credentials.

2) Mail, or e-mail

Please send the following documents to us via regular mail or you can e-mail us at customercare@cenrtralcollectioncorp.com .

• Agency Agreement
• HIPAA Agreement (Health care clients only)

Once you have submitted the Agreement(s), a Central Collection Corp. Representative will contact you to issue you your own Client ID, user name and password. Access to our online portal will allow you to review your accounts, place accounts, send files, as well as edit your accounts and report payments — all in a secure manner.

3) Collect

That’s it! We will acknowledge all accounts placed with our office in writing and then begin the collection process.

Downloads

HIPAA Agreement
(health care clients only)*

Agency Agreement