CHS WebAccess Version 17.0
HomeBack
   
Invalid member
Sorry. Your Service Terminated
You have already created an account
This e-mail ID is already in use by another member. Please enter another e-mail ID that you have access to.
Sorry, your account has been terminated. However, you seem to have a COBRA plan in effect.
Please use the new COBRA information to create a new web account
Sorry, your account has been terminated.
Sorry, your insured guardian has been terminated.
Your termination date is set in our records.Please contact your Employer for further procedures.
If you are a dependent attempting to create a web account after being on COBRA, please choose 'Self' as the relationship to subscriber
Your employer doesn't have web access permission.
Your account has been deactivated. Please contact the Plan Administrator.
Please make sure you're not a robot.
 

Provider Information
 Tax ID *
This is a required entry! Please enter your Tax ID.
Please enter valid Tax ID
 National Provider ID (NPI) *

This is a required entry! Please enter your NPI.
Only numeric values are allowed
 Name *
This is a required entry! Please enter your Name.
Name Contains Invalid Characters
 E-mail Address *

This is a required entry! Please enter your E-mail Address.
Email Address not correct
 

SubId not correct