If you are a CHCN provider or health plan partner and would like to use the CHCN Connect portal please take a moment to register yourself.
If you are the first person from your organization (or site) requesting this service please advise your supervisor or manager to register as a "local admin".
A local admin can add other users within the same organization without requesting CHCN staff to create their account.
Your tax id and site NPI need to be registered with CHCN prior to the account creation for security reasons.
If you are unsure whether your tax id and NPI are registered with CHCN please contact CHCN provider services at 510-297-0200.
I am requesting Supervisor Level Access Rights to the CHCN Web Portal for the Managed Care
business purposes of the health care company listed below. These Supervisor rights will allow me to
request User rights for employees of my company.
Please agree that you have 'read and agree' to these HIPAA-related provisions:
Any breach of this policy, even an inadvertent disclosure of confidentiality, is a basis
for the suspension of access rights.
101 Callan Avenue, Suite 300San Leandro, CA 94577
M-F 9:00am to 5:00pm
MAIN FAX: 510.297.0209
CLAIMS FAX: 510.297.0218
UM FAX: 510.297.0222