Register as an Agent or Representative
Please input your email address to start the application process. You will receive an email with a link to the Application Form. Once submitted, the registration process will take 48-72 hours.
New Agents will be required to upload their Insurance License, E & O Certification, W-9, and a voided blank check to a checking or savings account.
New Ovation Direct Representatives will be required to upload a W-9 and a voided blank check to a checking or savings account.
This system contains Protected Health Information as defined under 45 CFR 160.103. By logging in, you acknowledge that Protected Information will only be used for performing services as a staff member, consultant, or client of Alliance MSO per 45 CFR 164.504(e)(4).
For a new registration, please enter your email address to receive a link. Enter your email to receive a registration link.
For questions, call 1-866-549-4199.
