Select one of the following options that best describes your role.

Personal Information for Provider
An individual, state or local agency, corporate, or business entity that is enrolled in the Healthcare program as a provider of services.
Personal Information for Delegate
An individual designated by the Provider for the sole purpose of performing clerical functions and is responsible for ensuring patient privacy information accessed via this website is to be used only for legitimate business reasons.
Personal Information for Trading Partner
An entity with whom an organization exchanges data electronically. The trading partner may send or receive information electronically.