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Provider Connect Home

Provider Online Services Registration

*Required fields are denoted by an asterisk ( ) adjacent to the label.

First Name
Last Name
Contact Name
Provider ID To register for Beacon Health Options Online Provider Services, you will need to know your 6-digit Beacon Health Options assigned Provider ID number. If you do not know your 6-digit Provider ID number, please contact National Networks at 800-397-1630 to request it. Please note that this number is needed for registration purposes, but you should continue to bill your claims using your current process.
Tax ID
Provider Group, Facility or Clinic Name (if applicable)
Primary Email Address
Verify Primary Email Address
Secondary Email Address
Phone Number
(10 digit number without dashes)
Ext
Fax Number
(10 digit number without dashes)

Password must be between 8 and 20 characters long, must contain at least one number (0-9), one upper case letter (A-Z), one lower case letter (a-z), one of these special characters ( ! # $ ~ " % & ' * + , - . : ; = ? [ ] ^ _ ` < > | { } \), but no spaces. Make sure it is difficult for others to guess. Your Password is case-sensitive.


Select a Password
Confirm New Password
Create a Security Question
Answer to Security Question
 
Please check the provider services you want access to:
Inquiry Functions Claims Submission
Claims, Authorizations, Patient Eligibility, and Benefits searches will be available automatically upon acceptance of online registration.  
  

For assistance with any technical problems (such as connecting to or accessing the site) please call our e-Support Help Line at 888-247-9311 during business hours Monday through Friday 8AM - 6PM ET or you can email an Applications Support Specialist at e-supportservices@beaconhealthoptions.com

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