Forgot User ID


	Forgot User ID * Indicates a required field. Enter the following account information. We will use these values to help identify your account. If we find a match, an email will be sent to your email address on record. User Type User Type is a required field. Medicaid ID Medicaid ID is a required field. Medicaid ID is not valid or in the correct format. Enter a valid value in the format '999999999'. *PIN PIN is a required field. The text field contains invalid characters. Acceptable characters include [a-z], [A-Z], [0-9], spaces and characters [.?!,()-_+';:"/]. Forgot User ID By completing the Forgot User Id form correctly, We will use these values to help identify your account. If we find a match, an email will be sent to your email address on record. If you did not get any response from us, please call the appropriate phone number: Member Services – 1-800-884-3222. Provider Services – 1-800-884-3222.