Welcome to the Intermountain Healthcare Claims Portal User Registration Request

Please enter your first name, last name and email address to submit your request

* If you have already signed up through this system and need to make changes to your account (including TINs),
Please email NV_claimsportalaccess@imail.org

First name up to 50 characters You must enter your first name (only lower case letters, upper case letters, hyphens (-) and apostrophes (') allowed)
Last name up to 100 characters You must enter your last name (only lower case letters, upper case letters, hyphens (-) and apostrophes (') allowed)
Email up to 100 characters You must enter a valid email
All Fields are required!