Registration Registration

Provider Portal Registration Process
Click here to start the Registration process

Registration

What type of information do you need to access?
 Information related to a single practitioner.
 Information related to a single facility, entity or group.
 Information related to a specific tax identification number.

Electronic Funds Transfer

Please enter the appropriate bank information below. Refer to the check image if you are not sure of the information location.

* Denotes a required field



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*  Checking  Savings

Terms of Use
You must scroll through the Terms of Use to read the information and respond to the agreement option.

 


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