Questions? Need help registering? View this PDF for step-by-step registration instructions or call 205-220-6899.

ProviderAccess Registration

Complete the following information. * Required

User ID:*

Password:*

Must be at least 8 characters
Must be GOOD or better on strength meter
Cannot be your User ID
Consider a "passphrase" instead of a password (Example: theskyisbluetoday)

Password Strength:

Confirm Password:*

First Name:*

Last Name:*

Phone:*

Ext:

Email:

Confirm Email:

Node: bcbslrprvappp03.corp.bcbsal.org