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Check this box to indicate you have read and agree to the Terms of Use and Privacy Policy for this site.  After you check this box, you will be able to submit your registration.


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Type of User Help:

  • Select Provider/Submitter if you are a provider, office manager, support, biller, trading partner, etc. who either has your own or works for an organization that has an NPI, Medicaid ID, or Submitter ID.

  • Select State Employee if you work for the State of Alaska.  Contact if you need the Confirmation Code.

  • Select Xerox Employee if you work for Xerox.

    After you accept the Terms of Use and Privacy Policy, the link will appear to submit your information.  You must accept the Terms of Use and Privacy Policy to access this site.

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