Become an esco coverage provider

Provide your patients consistent quality of care by offering ESCO loss & damage coverage in your office.

ESCO provides coverage after a manufacturer’s warranty has ended, or if the manufacturer’s one-time replacement coverage has been used. 

Submit your information below and an ESCO Sales Executive will be in contact soon. Or call 1-800-992-3726.

Current ESCO providers:
Click here to access your new dashboard.

PRACTITIONER INFORMATION
Type of Office (Check all that apply)
Branch offices associated with the above business?
OMS SOFTWARE INFORMATION
The ESCO Claims Process
COPAYMENT YOU WANT ESCO TO PRINT ON YOUR PATIENTS' CONTRACTS
Practitioner Fees
Is your practice able to accept Professional Fee payments from ESCO? *
If yes, you're required to provide the information below:
Legal Entity (Check One) *
Assignment: Neither party shall have the right to assign their rights to any third party without prior authorization by ESCO.