This window allows you to register as an administrator for a payee.
You must have access to a Provider Information Sheet or previous remittance advices to register as a payee.
If you have previously registered as the administrator for a payee, and your registration is active, you will not be allowed to register again as an administrator for the same payee.
If you want to change your relationship with the business, review the instructions in the Change Your Business Relationship topic.
A Payee Business may have no more than 2 active administrators at any one time.
Warning: You are only allowed 5 attempts to register. If you are unsuccessful 5 times, your account will be locked and you will have to contact Network Services to unlock your account.
Review the Business Registration Overview for more information.
You must enter all required fields, and in the correct format. See below for a list of fields and validation rules.
Field Name |
Definition |
Validation Rules |
Field Type |
|
Payee Number |
the number assigned by HFS to your business location |
Required. Must match the entry on HFS's Payee Database. |
Text Box |
|
Payee Name |
the name of the business; the payee name from the Provider Information Sheet |
Required. Must match the entry on HFS's Payee Database. |
Text Box |
|
Payee Address |
the business address; should be the street address of the physical building rather than the mailing address |
Required. Address must be at least 3-characters in length. Certain special characters are not allowed. |
Text Box |
|
Second Payee Address Line |
additional business address information; may be the mailing address of the business |
Not Required. If entered, the address must be at least 3-characters in length. Certain special characters are not allowed. |
Text Box |
|
City |
the city where the business is located; must be the city where the physical building is located |
Required. City must be at least 2 characters in length. Certain special characters are not allowed. |
Text Box |
|
State |
the state where the business is located; must be the state where the physical building is located |
Required. Select an entry from the dropdown list. |
Dropdown Box |
|
ZIP |
the ZIP code of the physical building |
Required. Formats |
Text Box |
|
Business Phone Number |
the main phone number for the business |
Required. Formats |
Text Box |
|
Business Fax Number |
a fax number for the business |
Not Required. Formats |
Text Box |
|
Your Work E-Mail Address |
your work e-mail address, if you have one; or your personal e-mail address |
Required. Must be a valid e-mail format. |
Text Box |
|
Your Work Phone |
your phone number at work if you have a direct line; or a phone number where you can be reached at work |
Conditionally Required if work extension is not entered. Formats |
Text Box |
|
Your Work Extension |
your phone extension number at work, if you have one |
Conditionally Required if your work phone is not entered. If entered, must be numeric. |
Text Box |