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    Welcome! We're excited to offer a new Arizona Care Network (ACN)

    Provider Portal to further support your practice and patient care.

     

    Please complete the following questionnaire to request access to the new Portal. If you are requesting access for more than one TIN, please submit separate requests for each.

  • Is your TIN active with Arizona Care Network?*
  • Are you seeking information for Phoenix Children's Care Network (PCCN) members?*
  • Are you looking for:• Insurance claims,• Member plan benefits or eligibility,• Credentialing/re-credentialing information or updates,• Authorizations or Referrals
  • What are you requesting access to?*
  • Format: (000) 000-0000.
  • Is {pleaseProvide} a:*
  • Do you need to request access for another user?*
  • Should be Empty: