You are here:   Registration > Member Registration
  |  Login
 Member Registration

Please have your insurance card with you when completing the registration process. Fill out the registration card below as seen on your insurance card and then please continue through the rest of the registration process by clicking the "Next" button.

  
 Member Registration
ID: DAKOTACARE Logo
Group: -
RxBin: 012345
RxPCN: ABC RxGRP: ABCDEF
 
#: Last Name: Suffix: First Name: Middle Initial:
 
Date of Birth:
  

 You may use the following image to help you with your registration.