Provider Eligibility Lookup
 
Registration for Eligibility Lookup

Please complete the form below if you have not previously registered for an account to access HealthComp's eligibility lookup system.

This system is designed for healthcare providers ONLY.

Required fields are marked with *

Provider Information
TIN *
Business Name *
 
Physical Address
Street Address *
Address Line 2
City *
State *    Zip *
 
Contact Information
First Name *  
Last Name *
Phone Number *
Email Address *  
Re-type Email Address *    
NOTE: You must provide a valid Email Address in order to receive your user name and password.