Register for a User Account
Please read the following carefully. It will provide you with directions and a list
of the information you will need to register.
Step 1: Verify a valid email address: You will need to provide a valid email address and verify that address by responding to a confirmation email.
Step 2: Basic Registration Information: During this step, you will need to provide basic information about yourself, including name, address, phone, fax, and office name.
Step 3: Attestation: During this step, you will need to agree to our website usage statement.
Step 4: Selecting a username and password. During this step, you will pick both a username and password.
Step 5: Practitioner Association: To associate a practitioner with this account the following information is required: Practitioner NPI, Practitioner State, and Practitioner Zip code. (If you are registering as a rendering provider for the laboratory program to submit prior authorization requests on behalf of the referring provider, please enter your laboratory billing NPI, State and Zip information at this step.)
Step 6: Add Additional Practitioners to Account: : If you wish to add any additional practitioners, please proceed through this step. The same information as above will be required: Practitioner NPI, Practitioner State, and Practitioner Zip code.
Please gather all of the above information before starting this process.