Submit a request – American Medical Association

Please select your request type. Once submitted, a ticket confirmation screen will provide a summary of the information you've provided (All AMA employees must be logged in to submit requests)

Your email address

Subject(optional)

Your name

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Primary Contact Name

If different from above, who should be contacted for follow ups?

Primary Contact Email

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What is the name of your organization?

Please provide the name of the organization, company or entity applying for the license/seeking to use CPT content

Type of entity

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Web Site(optional)

Company Address - Country

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City

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Product or Service Category

Please select the type of product, service or solution that you offer.

Describe the product or service in sufficient detail to give a conceptual understanding. Describe how CPT codes and descriptions will be used in the product or service.

Please select the market that will make use of the product or receives your services (Check all that apply)

Please describe the market of your product or service if not included above(optional)

Is your organization using AI in any capacity in the development of your solution?

Is your organization using Large Language Models (LLM) or generative-AI within the technical workflow of your solution?

In which of the following ways are you using LLMs or generative AI in your solution workflow?

Are you interested in licensing any of the following AMA products (Check all that apply)(optional)

Please visit the AMA’s Intelligent Platform website for more information about the AMA products available to license: https://platform.ama-assn.org/

Check to confirm that you have been informed of the Upfront Annual Royalty Fee.

An Upfront Annual Royalty Fee of $1,050 is due each calendar year during the Term of this Agreement. The Upfront Annual Royalty Fee is due prior to the execution of this Agreement by the AMA, and an additional Upfront Annual Royalty Fee is due no later than July 31 of each year thereafter during the Term of the Agreement. In addition, AMA licenses CPT based on usage. Usage reports must be submitted to the AMA during the Term of the agreement to determine additional royalties. A user is defined as an individual who: (a) accesses, uses, or manipulates CPT Editorial Content contained in the Electronic Licensed Product; or (b) accesses, uses, or manipulates the Electronic Licensed Product to produce or enable an output (data, reports, or the like) that could not have been created without the CPT embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible; or (c) makes use of an output of the Electronic Licensed Product that relies on or could not have been created without the CPT Editorial Content embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible.

Confidentiality

The American Medical Association (AMA) agrees that the information provided by applicants will be kept confidential. I agree to keep the information provided by the AMA confidential. I confirm that all responses and related documentation submitted as part of the application process are accurate and complete to the best of my knowledge. I agree that I will notify the AMA if the information changes. Check to Agree

Comments or Questions

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