Connectivity Help Desk Contact Form

Note: * indicates required information.

Please correct the following errors

Webform

If your issue requires immediate attention please contact the Connectivity Help Desk at 1-800-697-9302.

Protect the patient’s privacy: Provide Quest Diagnostics accession number, patient identifier, or patient name.
Do not provide the patient’s date of birth, address, or social security number on this form.

Note: * indicates a required field.

* Contact first name

* Contact last name

* Phone

Best day/time to contact you

* Email

* Re-type email

* I prefer to be contacted via

Phone

Email

Alternate contact name

Alternate contact email

* EMR Vendor

Vendor ticket number

Quest account number

* Reason for contacting Connectivity Help Desk

Validation Testing - Production Environment

Validation Testing - Test Environment

Orders Not Crossing

Results Not Crossing

Connectivity

Test Mapping or Compendium Request

Result Retransmission

How-To

Other

I have a document to send as an attachment.

Open an email to Quest Diagnostics Interface Support
and attach your document.

* Number of orders

* Test code and names

* Resulting requirements

Normal

Abnormal

Specific value

Trigger reflex

Other

* Specific value

Please email a copy of Manifest, Packing list, requisition, or HL7 Messages.

* Do you require a hard copy of the report?

Yes

No

* How consistent is the problem?

All orders are not crossing

Some / A few orders are not crossing

* When did the issue occur?

* Provide batch number and date of service.

* Provide at least two recent examples.

* Are these vendor PSC HOLD orders?

Yes

No

* How consistent is the problem?

All results are not crossing

Some / A few results are not crossing

* When did the issue occur?

* Last successful connection

* Examples of accession number(s)

* Date of service

* Patient names

* Error message

* Last successful connection date/time

* IP change

Yes

No

* Old IP address

* New IP address

* IT Contact including phone and email address

* Test code

* Test name

* Lab location

* Accession number(s)

* Date of service

* Patient name(s)

* Correction needed

Additional comments/requirements (2,000 character limit)

* Please provide a brief description of your support request with pertinent details (examples of accession number, test codes, patient name) 2000 character max.