Provider Portal Registration

Registration is quick and easy. If you have any problems, click here for tips and troubleshooting, or to contact a person to assist you.

Please enter your information to begin the registration process. Your global ID, the last 4 digits of your SSN, and your zipcode must match the values we have on file in order to proceed with your registration. If you have forgotten your Global lD, it can be found at the top right corner of your monthly earning statements. All fields are required.

Your assigned Global ID. example: "12345"
example: "1234"
From your mailing address. example: "70503"