An official website of the United States government
This page displays information associated to the Account ID that was entered on the Account Setup page. The Account Representative's name, mailing address, and phone number will display. For more information on the Account Representative, see the Representative Information help page.
If the information displayed is correct, click Continue to proceed to the next page in the Account Setup process (Account Manager Personal Information).
If the information displayed is incorrect, click Previous to return to the Account Setup page. When the Account Setup page displays, re-enter the Account ID and Personal Identification Number (PIN).
Note: If the Account ID and PIN were entered correctly but the information displayed on this page does not reflect the information for your Account, contact an Electronic Data Interchange (EDI) Representative by phone at: (646) 458-6740 or by email at: COBVA@bcrcgdit.com
Click the Print this Page link to print a copy of this page for your records.
January 2024
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244