Please Identify Yourself

All fields are required.

Iris activation code

Enter your activation code as it appears on your enrollment letter or After Visit Summary®. Your code is not case sensitive.

xxxxx
-
xxxxx
-
xxxxx
Social Security number

Enter your Social Security number in the format shown.

NNN
-
NN
-
NNNN
Date of birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy