USER ID & PASSWORD HELP

Password Submit Clear


User ID
Medi-Cal Providers
Please enter either your 9-character Medi-Cal Provider number or 10-digit NPI.
Other Intermediary
Please enter your provider number assigned by the intermediary.
Submitter
Please enter your Submitter ID.

Password
Medi-Cal Providers
Please enter your Medi-Cal Provider PIN.
Other Intermediary
Please enter your password.
Submitter
Please enter your Submitter Password.
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Submit
Press this button to perform the selected transaction.
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Clear
Press this button to clear the fields in the form.
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