An official website of the United States government
This page displays the Account Representative's information associated with your Account ID.
Fields marked with an asterisk * are required.
| AR First Name | Enter the first name of your Account Representative. |
| MI | Enter the Account Representative’s middle initial. Optional. |
| Last Name | Enter the Account Representative’s last name. |
| AR Title | Enter the job title of your named Account Representative. |
| AR E-mail Address | Enter the electronic mail address used by your Account Representative for work-related email. It may not match an email address of a WCMSAP user. |
| Re-enter AR E-mail Address | Enter the email address a second time for verification purposes. You must type the email address each time. You may not cut and paste. |
| AR Phone | Company or work telephone number where your Account Representative can be reached. The extension field is optional. |
| AR Fax | Company or work facsimile number used by your Account Representative. Optional. |
After you have correctly entered all Account Representative information, click the Next button to proceed to the next page in the New Registration step.
Click the Previous button to return to the previous page.
Click the Cancel button to return to the WCMSAP Welcome page.
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A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244