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View this PDF for step-by-step registration instructions
or call 205-220-6899.
ProviderAccess
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User Profile
Complete the following information.
*
Required
User ID:
*
Must be
8 to 20 characters
Must contain
at least 1 letter
Cannot contain special characters
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