OrthoNet is pleased to announce our new secured web portal to research authorization information through OrthoNet’s website at www.OrthoNet-Online.com. To start using our web portal, you must first establish an account with us by providing the following mandatory information:

Provider Information

Provider Name

DBA

Address

City, State, Zip

NPI

TAX ID

Authorization Number

Please enter a previously submitted Authorization Number

Telephone

FAX

New Account Information

User's Name

E.g. Joe Smith

User's Email

E.g. JSmith@SomeProvider.com

Health Plans

If you know your provider identification number then please enter it for the Health Plans you currently participate with. The Provider ID is not required but providing it can speed up the approval process.

Contract	Provider ID
AETNA
Emblem Pain and Spine
Health First

Submission of Form:

OrthoNet will require verification of your identity by reviewing the above information and contacting you by email.

Confirmation of Receipt:

OrthoNet will process your request upon verification of your identity. Once verified, an email will be sent to the account requester with setup link to set an account password. You may request a copy of our Web Portal User Guide by calling our dedicated Web Support line at 1-800-771-3195; or download a PDF version of this guide by visiting our website at www.OrthoNet-Online.com