Provider Enrollment   Skip portlet
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Become a Provider
If you would like to become a Provider for the Alaska Medical Assistance Program, you can do so by completing an application online. If you are applying with a federal Employer Identification Number (FEIN), please complete and submit the Group Provider Enrollment Application. Please click FAQs for information on enrollment requirements based on provider type. If you have any questions regarding the application process or are not able to complete the online application, please contact Xerox Provider Enrollment Unit at (800) 770-5650 or (907) 644-6800 during business hours from Monday to Friday, 8:00 AM - 5:00 PM AKST.
Group Provider Enrollment
Become a Trading Partner
If you would like to become a Trading Partner (EDI) to exchange business information electronically with the Alaska Medical Assistance Program, you can do so by completing an application online. If you have any questions regarding the application process or are not able to complete the online application, please contact Xerox Provider Enrollment Unit at (800) 770-5650 or (907) 644-6800 during business hours from Monday to Friday, 8:00 AM - 5:00 PM AKST.
Application Status
To check the status of your Alaska Medical Assistance Program or Trading Partner Application, use your Application Tracking # and click the SUBMIT button.
  
Recall Provider Application
To recall an application that you have partially completed, enter your Application Tracking Number, and SSN / FEIN and click the SUBMIT button.




Recall Trading Partner Application
To recall an application that you have partially completed, enter your Application Tracking Number and SSN / FEIN and click the SUBMIT button.




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