For Healthcare Providers:

Register for a Provider Account

A Midlands Choice provider account will allow you to access time-saving tools to help with billing, accounts receivable reconciliation, claim tracking, locating current payer contact information and more.

Your Information

Bold Denotes Required Field

Associated TINs

Please add one or more TINs that you are requesting access to with the "Add TIN" button below.

Account Login Information

Password Requirements
  • 8+ characters long
  • 1+ uppercase letter
  • 1+ lowercase letter
  • 1+ special character

Legal Notice

THE INFORMATION CONTAINED WITHIN THIS WEBSITE IS PROTECTED BY FEDERAL AND STATE LAW. SEVERE CRIMINAL AND CIVIL PENALTIES MAY BE APPLICABLE FOR ANY UNAUTHORIZED USE OR ACCESS. By accessing this information, I represent that I am authorized to view such information and hereby agree to the terms and conditions of the access and use of the Midlands Choice web site and all information contained herein, as set forth in the USER AGREEMENT.