Please enable Javascript to use EDI Gateway
Login ID:
Password:
Forgot Password?
Create a Login ID
Terms of Use
Go To Test Website
Create your LoginID
Instructions
: Enter your information below and then click Submit. An email will then be sent to your email address that contains additional information on the completing the process for creating a LoginID. A valid email is required for creating a LoginID. For help contact us at:
BH_EDI.Operations@carelon.com
.
Fields with a * are required.
*LoginID:
*Password:
*Confirm Password:
*First Name:
*Last Name:
Salutation:
Mr
Mrs
Ms
Dr
*Email:
Email Format:
HTML
Text
*Phone:
*SubmitterID:
*Organization:
*Address:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Washington, D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Lousiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
*Zip Code:
Companion Guides are updated periodically. Please indicate if you want to receive email notifications for any updates to the companion guides.
Subscribe to Email notification