Initial Registration / Sign up

Please complete the form below to register your company.

(If your company is already registered in this portal, please try Reset Password option in the home page to obtain your login credentials.)

Supplier Data

Are you a diverse supplier? Help

Please select “Yes” only if your company is a diverse business holding one or more of the following diversity certifications: minority business enterprise, woman owned business enterprise, disadvantaged business enterprise, disabled person owned business enterprise, small business enterprise, small disadvantaged business enterprise, small business administration 8(a), HUBZone, service disabled veteran owned business enterprise, veteran owned business enterprise and LGBTBE. Please contact support@starssmp.com if you have any questions about the diversity type of your company. Pin

YesNo

Are you a small business as per US SBA? Help

Please select Yes if your company is currently certified as a small business by a Government agency or if your company meets the qualification of a small business by the US Small Business Administration (SBA). Pin

YesNo

(Please click here to verify if you qualify as a small business as per SBA)

User Name Help

User Name should be unique. User Name should either be an email ID or start with alphanumeric and can contain special characters !@#$%&*+_()-. Pin

Check Availability

Password Help

Keep the password length to a minimum of 8 characters and a maximum of 15 characters, with at least one upper case alphabet, one lower case alphabet and one number. Pin

(Passwords should have a minimum of 8 characters and a maximum of 15 characters, with at least one upper case letter, one lower case letter and one number).

Confirm Password Help

Reenter the password for validation. Pin

Legal Company Name Help

Name of the company as it appears in legal registration. Pin

Check Availability

DBA/Trade Name

Tax ID Type Help

Choose the appropriate Tax ID type from the drop-down list. Pin

Federal Employer ID Number Help

Unique 9 digit number assigned to your business. Pin

Social Security Number Help

Last 4 digits of SSN, if used as the Tax ID. Pin

(last 4 digits of SSN only) *

DUNS Number

(DUNS number is requested if your business has one).

Corporate Headquarters - US

CountryHelp

If you do not have corporate headquarters in the US, you cannot register. Please contact Blue Cross Blue Shield of Michigan at support@starssmp.com.

Address Help

Enter the address details in the text boxes associated with this field. Pin

Address 1

City Help

Enter the city details in the text box associated with this field. Pin

State Help

Choose the name of the state from the drop-down list associated with this field. Pin

Zip/Postal Code Help

Enter the zip code details in the text boxes associated with this field. Pin

Zip +4

Company Phone Help

Enter the company phone number in the text box associated with this field. Pin

Ext

Company Fax

Company Email Help

Enter the company email ID in the text box associated with this field. Pin

Confirm Email Help

Reenter the email ID for validation. Pin

Company Website

Contact Information

Primary Contact

Contact Name Help

Please enter the primary contact name in the text box associated with this field. Pin

Title Help

Please enter the job title of the primary contact in the text box associated with this field. Pin

Address

Same as Corporate Address

Address Help

If the contact address is different from the corporate address then please enter the address details in the text boxes associated with this field. Pin

Address 1

City Help

Enter the city details in the text box associated with this field. Pin

State Help

Choose the name of the state from the drop-down list associated with this field. Pin

Zip/Postal Code Help

Enter the zip code details in the text boxes associated with this field. Pin

Zip +4

Work Phone Help

Enter the work phone number and extension in the text boxes associated with this field. Pin

Ext

Cell Phone

Fax

Email Help

Enter the email ID in the text box associated with this field. Pin

Secondary Contact

Contact Name Help

Please enter the secondary contact name in the text box associated with this field. Pin

Title Help

Please enter the job title of the secondary contact in the text box associated with this field. Pin

Address

Same as Corporate Address

Address Help

If the contact address is different from the corporate address then please enter the address details in the text boxes associated with this field. Pin

Address 2

City Help

Enter the city details in the text box associated with this field. Pin

State Help

Choose the name of the state from the drop-down list associated with this field. Pin

Zip/Postal Code Help

Enter the zip code details in the text boxes associated with this field. Pin

Zip +4

Work Phone Help

Enter the work phone number and extension in the text boxes associated with this field. Pin

Ext

Cell Phone

Fax

Email Help

Enter the email ID in the text box associated with this field. Pin