CarePortal Registration

Primary User Please enter account information for your Primary CarePortal User. * = Required field Selected Health Plan * You have selected Elderplan, if you would like to change this you will need to restart registration. First Name * Last Name * Title * E-Mail Address * Confirm E-Mail Address *   Registration Type Referring Physician Registering as a Referring Physician requires a participating physician's NPI, Tax ID, and Last Name. Once registered, you will be able to submit Prior Authorization Requests, lookup the status of existing Prior Authorization Requests, and verify Member Eligibility. Rendering Facility Registering as a Rendering Facility requires a participating facilities NPI, Tax ID, and Zip Code. Once registered, you will be able to lookup the status of existing Prior Authorization Requests, and verify Member Eligibility. Rendering Facility accounts cannot submit Prior Authorization Requests.