Visit our vendor client gateway aquí and click “Create Account.”
Enter the required information in the “Company Information” tab and select “Continue” at the bottom to advance to the next page.
Fill in the required fields on the “User Information” tab. Click the check box to agree to the terms and conditions. Click “Save” at the bottom of the page.
Once you create an account, you will see an account signup confirmation message. Now, you can click on “Sign In” on the left side of the page using the account information you created to access the “Collaboration Portal Overview” page. This page lists the requirements needed to submit your request to join our network.
Submit your request to join our network by selecting “Requests” from the menu at the top of the page. Then, select “Create New Request.”
Select “Provider Agreement” from the request type dropdown menu. Then fill in the required information. Once completed, select “Save & Continue” at the bottom of the page.
Once the request is created, upload the necessary documentation in the files/attachments table (updated and completed W9 (2024 version)), and roster. You can either select “Browse” to open the file explorer or drop the files in the blue bar.
Nuestro departamento de Servicios para Miembros está listo para ayudarle a obtener lo mejor de su plan de salud.
Número de teléfono de los Servicios para Miembros:
312-864-8200
855-444-1661 (sin costo)
711 (TDD/TTY)
Horarios de atención:
De lunes a viernes: 8:00 a. m. a 6:00 p. m.
Sábado: 9:00 a. m. a 1:00 p. m.
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