Request an Initial Authorization
Request an Add on Service
Request a Reauthorization
Edit an Authorization
To reset your password we need your username. Fields marked with
Provider Portal Username
Enter your username:
© Copyright 2007-Thu Jan 17 12:20:22 EST 2019 CareCentrix
Best Viewed on Internet Explorer 8 resolution 1280 x 800
Build Version - 1.29.33
Web Chat page
Select Inquiry Type
What would you like to chat about?
What Can We Help You With?
Back Arrow Button Warning
Selecting the Back Arrow Button in your browser may result in lost data and disruption of chat session. Would you still like to proceed?
Close Button Warning
Are you sure you want to discontinue chat session?
System Auto Message
Member Last Name:
(Minimum of 1st three letters of last name)