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Form analysis
1 forms found in the DOM

Name: LogonForm — POST /PNCGH/logon2.do

<form class="log-form" role="form-vertical" method="post" name="LogonForm" onsubmit="return fillup2();" action="/PNCGH/logon2.do">
  <h4> Login to Remittance Advantage </h4>
  <div class="errorMessage">
  </div>
  <div style="display:none;">
    <div class="col-md-10 col-md-offset-1">
      <label class="control-label" for="l-d">
        <p>LOGIN ID</p>
      </label>
    </div>
    <div class="col-md-10 col-md-offset-1">
      <input id="l-d" type="text" class="form-control" autocomplete="off">
    </div>
    <div class="col-md-10 col-md-offset-1">
      <label class="control-label" for="p-d">
        <p>PASSWORD</p>
      </label>
    </div>
    <div class="col-md-10 col-md-offset-1">
      <input id="p-d" type="password" class="form-control" autocomplete="off">
    </div>
  </div>
  <fieldset class="row">
    <div class="col-md-10 col-md-offset-1">
      <label class="control-label" for="login-id">
        <p class="login-id-label">LOGIN ID</p>
      </label>
    </div>
    <div class="col-md-10 col-md-offset-1">
      <input id="login-id" type="text" class="form-control" autocomplete="off">
    </div>
    <div class="col-md-10 col-md-offset-1">
      <label class="control-label" for="password">
        <p class="password-label">PASSWORD</p>
      </label>
    </div>
    <div class="col-md-10 col-md-offset-1">
      <input id="password" type="password" class="form-control" autocomplete="off">
    </div>
    <div class="col-md-10 col-md-offset-1">
      <input type="submit" class="btn btn-primary" value="login">
      <a href="#" class="fpw-btn">Forgot Password?</a>
    </div>
  </fieldset>
  <div style="display:none;">
    <input type="hidden" id="h_username" name="username">
    <input type="hidden" id="h_password" name="password">
  </div>
</form>

Text Content

pnc
Contact Us

FOR ASSISTANCE WITH REMITTANCE ADVANTAGE PLEASE CONTACT PNC PRODUCT CLIENT
SERVICES

Via phone from 8:30am to 8:00pm E.T. on banking days:
1-877-597-5489

via email, for response within one banking day: remit.advantage@pnc.com

For questions about submitting claims, claim status, claims adjudication or
network services, please refer to the FAQ document for the payer located on the
Payer Info screen or contact the payer directly.

PNC REMITTANCE ADVANTAGE  HEALTHCARE PAYMENT AND REMITTANCE NETWORK

Portal not configured for mobile devices with small screens.

LOGIN TO REMITTANCE ADVANTAGE



LOGIN ID



PASSWORD



LOGIN ID



PASSWORD


Forgot Password?



REGISTER NOW TO RECEIVE PAYMENTS AND REMITTANCES ELECTRONICALLY

PNC Remittance Advantage offers you, at no additional cost, the ability to
receive electronic funds transfer payments (EFT) and electronic remittance
advices (ERA) for your claims from participating healthcare payers.   LEARN
MORE!

Register Now!

Need Access? See the Access Relationship Security FAQ





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