Request Portal Access

Effective January 1, 2021, United Concordia providers will serve members of Ambetter (Marketplace), Allwell (Medicare Advantage) and Ascension Complete (Medicare Advantage).  Please complete the form below to request your Payee ID to access the Envolve Provider Web Portal.

*All fields are required.  Once received Provider Relations will validate your information and respond with your Payee ID.

Numeric Provider NPI only