Healthcare Providers

Member Eligibility and Claim Filing Information

To Access Member information please provide the following information and check box to agree to the HIPAA terms.
Health Plan Control #:  ?	(e.g., 52EZ123456 or 02F1234567)
Patient's Date of Birth:	(e.g., 10/15/1965)
Type the code shown:
	(characters are case sensative)
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