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Register for Provider Secured Services

Instructions for professional providers

  1. Download the Professional Service Secured Access application (PDF) and the Use and Protection Agreement (PDF)

  2. Fax or mail the completed forms to the fax number or address listed on the form.

  3. We'll contact you with your user ID and password.

Note: Out-of-state providers and facilities do not qualify for Provider Secured Services.



Tools available to professional providers in Provider Secured Services



Questions? We can help!

If you're having trouble signing in or using Provider Secured Services, please call our help desk at 1-877-258-3932. The help line is available Monday through Friday from 8 a.m. to 8 p.m.


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