REQUEST PROVIDER PORTAL SET-UP

To initiate an online portal account for ordering and viewing results, fill in the information below. Once your information has been validated, you’ll receive an email with log-in information.

Already set up? Click here to access the portal.

* - required fields

Healthcare Organization Address

My Office Location Address

Result Delivery

If orders are placed in the portal, then results will be delivered via portal ONLY. If orders are placed via fax, results are delivered via fax AND portal (once enrolled).

HIPAA Acknowledgement

Providers and their designees named below (“Users”) may access clinical laboratory testing results and related information (“Test Results”) through a secured internet portal. The provider is responsible for limiting access to the Test Results and the uses and disclosures of Test Results to those permitted by HIPAA and for maintaining the privacy of protected health information. If we have reason to believe that the security of any User’s portal access has been compromised, we may take actions that include changing the User’s portal password.

Health Organization/Provider Office Contact Signature

Providers (10 per document)

You must list at least one provider or designee. If you do not list a designee, provider email address is required.

Name
Credentials
Phone
Email
NPI (or DEA # if NPI is not available)

Designees (6 per document)

Email is required for each designee

Name
Credentials
Phone
Email
View Orders
View Results
Place Orders
Manage Users

 

Some customers have experienced unusual error reports from this tool. If this happens to you, please download the paper version of our portal enrollment form and, once completed, fax it to the number provided.

Most private insurance companies do not currently reimburse the costs for Cologuard. Please call customer support at 1-844-870-8870 or speak to a Cologuard sales representative to understand the implications for your patients. You can also learn about how Cologuard billing is handled and what Exact Sciences will do to appeal non-coverage decisions.