Home
Careers
Site Requirements
Register Now
|
Forgot Password?
Find a Doctor
Pharmacy Center
About Us
Media Center
Health Management Center
Contact Us
Providers
Commercial
Medicare
Provider Connections
Eligibility/Benefits
Claim Status
Online EOP
Referrals
Manage Your Account
COVID-19 Provider Resources
Coding Guidance for COVID-19
Supplemental Telehealth Guidelines
Telehealth and Telephone FAQ
Resources & Tools
Provider Directory
Pharmacy Center
Provider News
Additional Coding Edits
Quality Measure Resource Guide
Passage FAQ
Specialties requiring PCP referrals
Passage Participating Primary Care Provider Criteria
Headlines
7/31/2019 - In-home palliative care services available to your patients
View All Provider News
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:
Choose a role
Office Manager
Physician
Front End Staff
Billing Manager/Staff
Other
*
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:
Choose a question
What is your best friend's mother's first name?
What was the last name of your favorite teacher?
What is your father's middle name?
Who is your favorite cartoon character?
*
Hint Answer 2:
*
Hint Question 2:
Choose a question
Which street did you grow up on?
What was the make of your first car?
What was your high school mascot?
What is your favorite restaurant?
*
Hint Answer 2:
*
*
= Required fields
