How to Recall a Provider Application

If you saved an incomplete application, you can recall it to complete it at a later time. You cannot recall an application that has been submitted. The AK MMIS Health Enterprise Portal will lock the application that you are recalling when you have entered its SSN/FEIN incorrectly several times in a row. It will be locked for a specified amount of time for security purposes.

To recall a provider application

1. Do one of the following:
   • On the Provider menu, click Enrollment.

   • On the Quick Links pod, click Provider Enrollment.

   The Provider Enrollment page is displayed.

2. In the Recall Provider Application panel, enter the Application Tracking # and SSN/FEIN entered on your application.

   Note: If you enrolled as an individual, use your SSN.

3. Click Submit.

   The Identifying Information page is displayed based upon the application type that you saved, either Individual Provider or Group Provider.

4. To finish your enrollment process, complete any incomplete pages, depending on your application type:

• For individual providers, see How to Enroll Online as an Individual Provider.
• For group providers, see How to Enroll Online as a Group Provider.

See Also

Version as of 6/30/2015.