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Provider
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Facility
User Name:
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Password:
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Company(s):
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Available Company(s)
BLUE LAKE RANCHERIA MEDICAL PLAN
BLAKE
BLUE LAKE RANCHERIA DENTAL
BLAKED
CALIFORNIACARE HEALTH PLANS
CALC
PURCHASED REFERRED CARE
CHS
NORTH COAST CO-OP DENTAL
COOPD
CRIHB
CRIHB
DENTAL PLANS
DENT
EMPLOYEE ASSISTANCE PROGRAM (EAP)
EAP
CALPERS BLUE SHIELD HMO
HBS
NATIVE FUND WORKERS COMPENSATION
NFWC
TRINIDAD RANCHERIA MEDICAL PLAN
TRIN
TRINIDAD RANCHERIA DENTAL PLAN
TRIND
HIPA VISION PLAN
VIS
Selected Company(s)
Provider(s):
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Provider NPI:
Provider Tax ID:
Last Name:
First Name:
Sea
r
ch
C
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ear
--Select Company--
BLUE LAKE RANCHERIA MEDICAL PLAN
BLUE LAKE RANCHERIA DENTAL
CALIFORNIACARE HEALTH PLANS
PURCHASED REFERRED CARE
NORTH COAST CO-OP DENTAL
CRIHB
DENTAL PLANS
EMPLOYEE ASSISTANCE PROGRAM (EAP)
CALPERS BLUE SHIELD HMO
NATIVE FUND WORKERS COMPENSATION
TRINIDAD RANCHERIA MEDICAL PLAN
TRINIDAD RANCHERIA DENTAL PLAN
HIPA VISION PLAN
A
dd
D
e
lete
Provider Name
Provider ID
Company ID
Provider Name
Provider ID
Company ID
Choose Vendor(s):
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V
endor ID:
Vendor N
a
me:
Vendor Name
Vendor ID
Company ID
Vendor Name
Vendor ID
Company ID
Choose Facility(s):
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F
acility ID:
Facility N
a
me:
Facility Name
Facility ID
Company ID
Facility Name
Facility ID
Company ID
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