Please request access via email with subject line:
DHMSO Provider Portal Access Request
Send email to: CI-ACOhelpdesk@commonspirit.org
Please Note: The Authorized Representative (Office Manager or Delegate chosen by the contracted group) is responsible for submitting all access requests (new, terms and audit reviewer). There should be 2 or 3 Authorized Representatives per contracted group, please reach out to your Provider Relations Rep for this designation.
To Receive Email with Template Form, please add Email Address and press 'Receive Template'