User Registration
Type of Access Required: Which access is right for me?
Vendor ID:
  (13 digits required)
E-mail Address: (Example:
Retype E-mail Address:
Contact Person:
Phone Number:   (10 digits)
Note: Password must begin with an alpha character, have at least 2 numbers and be at least 6 but no more than 8 characters long. Passwords must be reset every 90 days. If you need help with a password, call 1-800-248-2152.
Enter a password:
Retype password:
Providers and Billing Agents must enter the SSN or IRS EIN that is registered with your DHS Vendor Number. This required to validate your identity:

Select a security question and provide an answer: