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WebThe Email field is required. Date of Birth Optimum HealthCare | 5411 SkyCenter Dr, 8th Floor, Tampa, FL 33607 | (813) 506-6127 Phone | (813) 506-6151 Fax | Copyright

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URL: https://apps.youroptimumhealthcare.com/Account/ForgotPassword

User Registration External

WebRegistration/Access Permission Form. This form is for users not directly employed by the Health Plan to register with the MRA/HEDIS® website. You must fill out ALL of the items …

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User Registration

WebInternal User MRA/HEDIS® Access Request. This form is for internal Health Plan users to register with the MRA/HEDIS® website. You must fill out ALL of the following pieces of …

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