Registration to the Provider Web Portal

The Provider Web Portal offers our contracted health care providers secure online access to manage daily business transactions. You don’t need any special software to get started using the Provider Web Portal, and it’s free to all of our contracted health care providers. You’ll need the following things to register:

  • Basic information about your practice, including your Federal Tax Identification;
  • Valid email address;
  • The name and address of your Primary Controlling Authority (PCA) or Security Officer (the individual who can legally bind your organization who has the legal authority to sign for group).

How Long Will It Take?

Applications are approved within 24 to 48 hours. You will receive a welcome letter by fax that will include your username and instructions on how to get your password.

Browser Requirements

  • High speed internet connection;
  • Internet Explorer 9.0® (or higher) (PWP is not compatible or you may experience issues with Chrome or Firefox);
  • The ability to enable pop-up windows and allow JavaScript;
  • The latest version of Adobe® Reader, to view PDF forms.

We're Here To Help

If you have any other questions or require assistance, please send us an email. Otherwise if you are an existing user and require assistance, please send us an email including your user name, NPI or Tax ID as well a detail description of the problem you are experiencing.

  1. 1

    User Identification Information


  1. 2

    Account Owner Information (Account owner has ability to create, and responsibility to maintain, additional group practice users)


  1. 3

    Type of Access (Check all that apply)


  1. 4

    For Security Officer to complete (The name and address of your Primary Controlling Authority (PCA) or Security Officer - the individual who can legally bind your organization who has the legal authority to sign for group)


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