Secure Content Access Request
Request access to the Select Health secure Provider Portal and online tools by completing BOTH:
- IT Services Agreement (ITSA): An agreement between your office and Select Health regarding access to the Select Health system. You only need to complete and return pages 1 and 14.
- Login Application: Access request for Portal and practice management tools, such as the Provider Benefit Tool, for checking member eligibility and claims status. Be sure to list ALL new users on this form. NOTE: Access to secure member information via the Provider Benefit Tool is only available to providers and facilities contracted with Select Health.
The Select Health Provider Portal requires a secure login and 2-step authentication for contracted providers to use online tools, such as the Provider Benefit Tool and CareAffiliate®, for verifying member eligibility and tracking claims. Learn more about cybersecurity and 2-step authentication.