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Get the forms and resources you need for things like Portal access, Prior Authorization and more. You can easily find and download what you need to make sure your account stays up to date.
If you need to appeal a denied benefits request, use this form to start the process.
Get access to your employer portal by submitting this form to register your account.
For Ascension clients, get access to your employer portal by submitting this form to register your account.
Use this form to enroll in a benefits package.
Need to enroll in a Flexible Spending Account? Use this form to do so
If you have a Flexible Spending Account, use this form to submit your expenses to be reimbursed.
If you have a Flexible Spending Account, use this form to submit your dependent care expenses to be reimbursed.
Complete this form to receive funds from your Healthcare Reimbursement Agreement account to cover healthcare costs
Complete the form to allow your provider or other party to release your health information.
For providers to submit prior authorization requests, provide clinical information, and receive determination outcomes electronically.
If you’ve had a life change event, use this form to update your status, add or remove dependents, and more.
If one of your dependents is a student over the age of 18, use this form to verify their dependent eligibility.
