Provider registration creates a unique Login ID for you to enter the Web site and access claim and participant eligibility information.
*The red asterisk indicates mandatory fields that must be populated.
Tax ID – This is your nine-digit Tax ID number assigned by the IRS.
Online Access Code – You can find the online access code on your most recent Provider Explanation of Benefits form.
Email ID – This is the Email ID you will use to log in to this Web site.
Confirm Email ID – Same as the Email ID entered above.
Password – This is at least 14 characters password that must contain Uppercase letters, Lowercase letters, Numbers, Symbols. This must not be a commonly used password. This will be the password you will use to log in to this Web site.
Confirm Password – Same as the password entered above.
First Name – Your first name.
Middle Name – Your middle name.
Last Name – Your last name.
Phone Number – Your phone number.
Message Notification – Select Yes to receive alerts to your registered email address whenever a new message is posted on NWA website.Otherwise, select No.
Terms of Use – Agreement to the Terms of Use must be checked before you can register.
Upon successful registration, you will be taken to a page where you can inquire on your patient’s claims and/or eligibility. You will also be able to update your provider account information.