You must complete all required fields on the form as indicated in red


    Online Provider Account Registration

    MVP's secure provider account offers online access to member eligibility, benefits, claims, check authorizations,
    policy information and more.

    To receive access, your practice and / or site must:

    • Be credentialed with MVP (Participating Providers), or
    • Have a paid claim with MVP (Non-Participating Providers)

    Note: To view information for Cigna patients, please go to This link takes you away from MVP’s website.

    Office Site Administrator / Individual User Website Access

    i To request access for Individual Users acting on behalf of the named provider entity, this form must be
    completed by the Office Site Administrator.

    Need technical support?

    Contact us for assistance with the following:
    • Identifying current site administrator
    • Changing site administrator accounts
    • Any other registration or
      maintenance questions

    1. Practice Information
         Complete this section for all requests.

    Facility/Practice Name Is set in js
    Tax ID Is set in js
    (Please do not include hyphens. To request access to multiple Tax IDs, email esupport@mvphealthcare.com)
    NPI for a Provider Associated with Above Tax ID
    Claim 1 (paid amount from within prior 180 days) Is set in js Is set in js
    Claim 2 (paid amount from within prior 180 days,
    for a separate member than Claim 1)         		Claim required must be 12 characters or less Is set in js
    Office Site Administrator Name