Account Activation for providerConnect Secure Services Online Account

In order to activate your providerConnect Secure Services online account, you will need to enter your registration key and provider number in the fields below.

You may have received your registration key and provider number by email or regular mail. If you do not know your registration key and/or provider number, please click “Contact Us” on the left side of the page for assistance.

* indicates a mandatory field

Select Provider Type:

*

-- Select -- Dental provider Drug provider Extended Health Services provider

If you are a dispensing pharmacy who also submits claims for Extended Health Services or medical devices, select Drug as your Provider Type.

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