Vendor Administrator Registration



In order to obtain administrative rights in the claim status web portal you must be a manager or a supervisor.
Requesting User Information
Title:
First Name:
Last Name:
Email:
Phone:
Organization Name:
User Id:
Password:
Confirm Password:
Authorizing Party Contact Information
Vendor InformationAdd Vendor
Organization Name:
Name:
Phone:
Email:
Vendor NPI: Not Verified
Vendor Name:
Instructions:
This page allows you to send a vendor admin registration request to EPIC, LP.
  • All fields are mandatory.
  • To add another vendor you can click on the green + icon.
    If you want to add new vendor by using existing Authorizing Party Contact Information, you can simply click on "Copy And Add New Row" button.
  • You can enter a partial name for Vendor in the "Vendor Name" box and click on "Check Availability" button to choose a vendor from the list.
    Once you choose a vendor from the Search Results, the NPI will be automatically populated into "Vendor NPI" field.
    You can also enter a valid NPI and check for its availability.
  • Once you enter all the information and submit the form, the registration request will be reviewed by EPIC and yow will be notified through email.
Vendor NPI Vendor Name Select