If you are interested in signing up for HEALTHeNET™ application usage, please click on the "Request Form" link, and complete and submit the form. A HEALTHeNET™ representative will contact you within 5 business days of your request to provide further instructions and schedule training.
These forms(pdf) are required to be completed for HEALTHeNET™ sign up
HEALTHeNET™ Tutorial (New User Interface)
Password/login support is not available through email. Your authorized contact must call the PCI Help Desk at 1-877-895-4724 for login support.