Back to main API Interoperability Page Member Data User Access Member Data User Access Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Member First Name *Last Name *Email *Previous Payer Member id 2 *Member Last Name *Previous Payer name 3 *Member Date of Birth *Previous Payer Name id 3 *Member Gender *Previous Payer Name 4 *Member Medicare Id *Previous Payer Member id 4 *Previous Payer name Id *Previous Payer Member id 1 *Have you read and agree to abide by the Curana Health Notice of Privacy and Terms of Service? YesNoCheckboxes *Member/member representative aproval for currently active and enrolled payer to request member information from previouly enrolled payer(s) on their behalf.PhoneSubmit Registration
