Select one of the following options that best describes your role.
An individual or entity that is enrolled in the Pennsylvania Medicaid program as a provider of services.
An account created by a Provider for use by an individual within the provider's organization. Alternate accounts can be authorized by a provider to bill for more than one 13-digit MPI and Service Location.
A third party individual or entity who is authorized to submit Medicaid transactions on behalf of a Provider.
An individual or entity that is authorized to access specific functionality within the PROMISe™ Internet Portal.