Member Portal

For current Genesis members, if you need information about effective dates or fee schedules please submit a request.

For current Genesis members, if you need information about effective dates or fee schedules please submit a request.

Member Form

Name(Required)

First Last

Email(Required)

Phone(Required)

Practitioner Name

Practice Name(Required)

NPI(Required)

Tax ID(Required)

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New Member Inquiry

Effective Dates

Fee Schedules

Payment Questions

ACO Related Questions

Demographic Update

General Questions

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