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Secure Provider Portal Registration Form - Large Groups & IPAs This registration form is for IPAs and large groups with five or more providers. Please complete the form entirely and email to [removed], and see
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Document Date: 2014-01-29 16:38:01

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Vendor / Tax / New York / /

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IndustryTerm

Web Support / large groups / Web Support team / /

Organization

Group Lab / STATE MEDICARE / Medicare / /

Position

The WellCare Web Administrator / Group Administrator / IPA Administrator / Administrator / Group Group Administrator / Large Group Administrator / /

ProvinceOrState

Missouri / Kentucky / New Jersey / South Carolina / Illinois / Florida / Georgia / /

URL

missouricare.com / harmonyhpi.com / newjersey.wellcare.com / newyork.wellcare.com / wellcare.com / florida.wellcare.com / georgia.wellcare.com / ohanaccs.com / ohanahealthplan.com / southcarolina.wellcare.com / kentucky.wellcare.com / www.wellcare.com / /

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