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Dental Benefit
Providers

Thanks for registering!

To complete your setup, please share your One Healthcare ID with the provider associated with the TIN you want access to. This will allow them to grant you access to the appropriate TIN.

Once the provider associated with the TIN grants access, you'll be able to complete your admin setup.

Dental Benefit
Providers

Attest your role as Administrator

Please review and select all to attest that you are the Administrator

I attest that I am submitting on my own behalf and I am the user associated with this Organization TIN; or I have the authority to submit a request on behalf of the group(s) associated with this ABC HEALTH CENTER tax ID number: 123456789

I certify that all information provided as part of this process are true, accurate and complete, to the best of my knowledge

I attest taking on the responsibility as the Administrator for my organization.