Vendor RFI

This Vendor Request for Information (RFI) is convenient way to contact an EC/EDI vendor and request information about their products and services. You will receive a copy of the RFI e-mail that the vendor receives.

After receiving the e-mail, the vendor will contact you.

If you are sending this RFI on someone else’s behalf, enter their contact information at the top of the form and your contact information at the bottom of the form.

Fields marked with are required

	EDI Vendor	Email address
	Name
	Company
	Telephone
	Email	Privacy Policy
	Area of Interest Select up to 3 areas.	To select multiple areas, hold CTL key while selecting. Adapters / ConnectorsAS1 / AS2 / AS3ASN & LabelsB2B GatewayBar Coding & LabelsBusiness IntelligenceCertification / ComplianceClaims / Billing ServicesClaims / Billing SoftwareClearinghouseConsulting: ImplementationConsulting: IntegrationConsulting: StrategyData SynchronizationDevelopment ToolsEHR / EMREnrollmentFile Transfer SoftwareHealthcare CodingIntegration: ServicesIntegration: SoftwareManaged ServicesMapping SoftwareMiscellaneousOutsourcingPractice Management ServicesPractice Management SoftwareProduct Information ManagementProfessional ServicesRFIDService BureauStaffingSystems IntegratorTrainingTransformation SoftwareTranslation SoftwareVANWeb EDI
	What is your time frame?	Kind of urgent A couple of months Just researching
	Industry	What industry are you in? AerospaceAnesthesiologyApparelAutomotiveB2B (General)Business ServicesChemicalChiropracticDentalDistributionDME / HMEEducationElectricalEMSEnergyFinancialFood ServiceGovernmentGroceryHardlinesHealthcare (General)HospitalityImport/ExportIndustrialInformation Tech.InstitutionalInsurance: PrivateInsurance: PublicLogisticsLong-Term CareManufacturingMental HealthMiningPaperPharmaceuticalPharmacyPrintingProfessionalPublishingRetail / CPGTelecommunicationsTransportationUtilitiesVisionWarehousingWholesale
	Comments
If this RFI is submitted by someone other than the sender above, complete the information below to receive a copy of the e-mail.
	Name
	Company
	Telephone
	Email