Provider Registration

The Portal can be used to submit prior authorizations request(s), check authorization status, upload clinical documents to support the request,and download and print determination letters, etc. A step by step guide to access the portal is available on the UM page. Please do not hesitate to contact the Utilization Management or Provider Relations staff for questions, comments, etc. Your assistance in this matter is greatly appreciated.

Entities to Affiliate With:

Credentials

The password will be emailed to the person identified on the form.
**NOTE: Upon entry into the portal the user will be required to change the password before proceeding any further.