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    • Welcome to ConnectiCare's Provider Online Services. Your direct connection to the information you need.




        * = Required fields
      Provider TIN: * 9-digit tax identification number 
      First Name: *
      Last Name: *
      Contact Role: *
      Address: *
        If the address you are looking for is not found, please manually enter your address and contact information. A Provider Education and Service Representative will be contacting you to update our system accordingly.
       
      Provider Group Name: *
      Office Email: * You must provide your email address (e.g. provider@anywhere.com) for EFT payment notifications and other important notices.
      Phone:- -  *
      Extension:
      Fax:
      User Name: *

      You must create a user name that consists of any combination of letters and numbers with no spaces. User names must be at least 6 characters.
      Password: *


      You must create a strong password that contains at least one of the following: lower case letter, one upper case letter, one symbol and one number with no spaces. Passwords must be at least 8 characters long.
      Confirm Password: *
      Hint Question 1: *
      Hint Answer 2: *
      Hint Question 2: *
      Hint Answer 2: *
       
        * = Required fields  



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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.