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Registration

New Facility Registration

As an authorized provider of health services, you will be able to view and access valuable account and medical information online.

Enter your sign-in and information about the Facility in the form below and then click the Register button.

Your Provider ID can be found in the upper right-hand quadrant of your claims remittance advice. If you’re having problems locating your Provider ID, please contact Technical Services at 1-916-781-4658.

* Indicates required information

Facility & Billing Information
(This number is on your claims remittance. Don't see it? Call 1-916-781-4658.)
Contact
/ /
(Area Code & Number)
User ID & Password
User ID may contain at least 1 and any of the following (space . @ _ -). Example: John Smith or j_smith@my-address.com

Your password must use:

  • A minimum of eight (8) characters
  • Use a combination that has at least three of the four following character types:
    • Upper case letters
    • Lower case letters
    • Numbers
    • Special characters: * % ~ ! @ # $ ^ ( ) + - = [ ] { } ; : , . ? | _

Password Recovery Security Questions

You will need to select and answer a minimum of 4 security questions. The questions will be randomly displayed in the event you forget your password. After you enter the answers correctly you will be allowed to reset your password.

Select 3 unique questions and enter one of your own questions below.

  Security Question Answer
* 1:
* 2:
* 3:
* 4: