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Provider Registration

Please Note: Upon completing the below form please click on the "Create New Profile" button once. As it may
take a moment for the form to process.

Registration Form

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How to Register

For first time users, you must first get a “user name” and “password”. You can do this clicking the “Register” button, which will be found directly to the left of the “ Provider Login” button. After you do this, the following information will appear: (This direction may change depending on the page layout.)

“Welcome to UPREHS Provider profile creation. You will need your Business Tax Identification Number (TIN) to complete this process. Some of the Other information is also required during this registration is required to verify your participation. provider identity. Please fill out this form as completely as possible. Your TIN registration is critical to allow you to looking up member eligibility, claims or benefit information.

Upon successful processing of your request our system will send an email message containing your assigned User Name and Password to the email address you provide on this form. Normally, you will receive the email message within a few minutes. You will then be able to login to the provider area of the UPREHS web site using your new User Name and Password.”

Press the “continue” button.

 

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