Thanks for registering!
To complete your setup, please share your One Healthcare ID with the provider associated with the TIN you want access to. This will allow them to grant you access to the appropriate TIN.
Once the provider associated with the TIN grants access, you'll be able to complete your admin setup.
Once the provider associated with the TIN grants access, you'll be able to complete your admin setup.
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Contact your provider
All TINs were removed from your account. Please share your One Healthcare ID with the provider associated with the TIN you want access to. This will allow them to grant you access to the appropriate TIN.
Once the provider associated with the TIN grants access, you'll be able to complete your admin setup.
Once the provider associated with the TIN grants access, you'll be able to complete your admin setup.
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Attest your role as Administrator
Please review and select all to attest that you are the Administrator
I attest that I am submitting on my own behalf and I am the user associated with this Organization TIN; or I have the authority to submit a request on behalf of the group(s) associated with tax ID number:
I certify that all information provided as part of this process are true, accurate and complete, to the best of my knowledge
I attest taking on the responsibility as the Administrator for my organization.
The claim data which you have entered is incorrect, please use the correct claim
Claim Information
Your provider has granted you access to the TIN below. Please fill out the claim information using a claim processed in the past 60 days to verify your access.
Dental Benefit
Providers
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TIN Number:
Subscriber ID
*
Subscriber ID is required.
Date of Service
*
Date of Service is required.
The claim number is a 12 digit number found on the EOB
Claim Number
*
Claim Number is required.
Your attestation has been completed successfully. Kindly login> again to proceed.
Claim Verification Complete
Your claim verification is complete. You still have pending attestations. You can go to the dashboard now, or continue with the remaining attestations.