1. Visit help.phtech.com and click Submit a request in the upper right hand corner or click on /hc/en-us/requests/new
2. Select I am with a provider office
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3. Enter your e-mail address.
4. Enter a subject of “PHA Medicaid Provider Portal Access Request”
5. Select the topic of “I have an issue with a CIM account or need a new account”
6. Complete the form and press Submit.
7. An Ayin representative will review your request and respond via email.