Welcome to Corporate Benefits Service Provider Portal.

Register here for direct eligibility and/or claims status requests.
And once your information has been verified, your Personal Trader ID will be emailed to you.

Already registered? Click here.

Questions ?? Call 1-704-373-0447 ext. 2444

Forms, Applications and Agreements

Physician Agreement*
Provider/Facility Agreement*
NC DOI Provider Contract (with Attestation "Release of Information" Statement)*
W9 Form*

 

* Requires Adobe Reader