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DDE registration gives providers access to eligibility, benefit information, and the ability to check the status of a claim on the Gateway.
Create User
Add EDI
Add EFT/835
EFT/ERA Application
Finish
Profile Information
Create a UserID:
(Enter only a-z A-Z 0-9, no spaces)
Password:
Password must be at least 8 characters long, contain a 1 lower-case, 1 upper-case, 1 number and 1 symbol
Re-type Password:
* You must re-type your new password.
User Details
Email Address:
Re-type Email Address:
Organization Name:
Contact Name:
Telephone Number:
| ext.(if applicable)
Tax ID Number:
* You must enter a nine digit number for Tax ID.
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