Patient Portal Login

Returning

with PIN*

Enrolling

Returning Patient

Email Address

Password

Forgot Password

First Time with PIN*

Last Name

Date of Birth

One-time PIN

New Patient Enrollment

First Name

Last Name

Date of Birth

Gender
Select Female Male Other

Email Address

Location
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington District Of Columbia West Virginia Wisconsin Wyoming

Phone Number

Subscriber ID/Member ID

Insurance Payer
Choose SELF PAY if no insurance
Select Payer A0245: ABERNATHY 60054: AETNA 38692: Aetna Better Health 38692: AETNA TX MEDICAID AND CHIP 81040: ALLEGIANCE BENEFIT PLAN MANAGEMENT INC 68069: Ambetter 26375: AMERIGROUP 26375: AMERIGROUP COMMUNITY CARE 00601: ANTHEM - GA 00950: ANTHEM BCBS WISCONSIN SB510: BCBS ALABAMA 00621: BCBS ILLINOIS 53120: BCBS LOUISIANA 00840: BCBS OKLAHOMA 84980: BCBS TEXAS 66001: BCBS TEXAS MEDICAID STAR CHIP 84146: CHAMP VA HAC 62308: CIGNA COMMF: COMMUNITY FIRST 48145: COMMUNITY HEALTH CHOICE 60495: COMMUNITY HEALTH PLAN INC 00590: FLORIDA BLUE (BCBS FLORIDA) GRV01: GRAVIE 14163: HARMONY HEALTH PLAN HLTHT: HEALTH TRADITION 61101: HUMANA 91051: KAISER FOUNDATION HEALTH PLAN WASHINGTON 68069: LOUISIANA HEALTHCARE CONNECTIONS SKAL0: MEDICAID ALABAMA 86916: MEDICAID TEXAS 75228: MEDICAID TEXAS CHILDREN'S HEALTH PLAN STAR (STAR KIDS) 10102: MEDICARE ALABAMA PART B 04412: MEDICARE TEXAS PART B MHPIL: MERIDIAN HEALTH PLAN ILLINOIS 13189: MERIDIAN HEALTH PLAN ILLINOIS MEDICAID 64157: MERITAIN HEALTH 20554: MOLINA HEALTHCARE TEXAS 9048P: MULTIPLAN INC 87726: OPTUM UNITED HEALTH BEHAVIORAL SOLUTIONS OSCAR: OSCAR PO Box 52146 Phoenix AZ 85072 OTHER: OTHER NOT LISTED 66917: PARKLAND COMMUNITY HEALTH PLAN 13306: PRIVATE HEALTH CARE (PHCS SAVILITY) 00851: REGENCE BCBS OREGON TH002: SCOTT AND WHITE 88030: SCOTT AND WHITE HEALTHCARE SELFPAY: SELFPAY 68069: SUPERIOR HEALTHPLAN 76048: TEXAS CHILDREN'S HEALTH PLAN (MEDICAID) CHIP 88221: Texas Health Aetna TREST: TRICARE EAST SX176: TRICARE FOR LIFE 99726: TRICARE WEST 39026: UMR 87726: United Healthcare 86050: UNITED HEALTHCARE COMMUNITY PLAN MISSOURI 14163: WELLCARE HEALTH PLANS WLPNT: Wellpoint

By clicking Next, you agree to the terms of use and agree that all information you have provided is yours and you have legal right to use.

Click Here to view Terms Next