New Provider Registration
To register for access to the Online Provider Portal, please complete and submit the information below.

(*) indicates required fields.
*Provider PIN Number

English:

If you have any questions, please call Member Services at (844) 969-5366. TTY users call 711. Our hours of operation are 8 a.m. to 8 p.m., seven days a week from October 1st through March 31st and Monday through Friday the rest of the year.

Spanish:

Si tiene alguna preguna favor de llamar al Departamento de Servicios a los Miembros al (844) 969-5366. Del 1ro de octubre al 31 de marzo, nuestro horario es de 8:00 a.m. a 8:00 p.m. de lunes a domingo, y del 1ro de abril al 30 de septiembre estamos disponsibles de lunes a viernes de 8:00 a.m. a 8:00 p.m.