Key takeaways
- The 2027 IMG residency Token costs $185 and is nonrefundable.
- Request it in MyIntealth and register it once in the correct MyERAS account.
- One Token covers all ERAS specialties plus PGY-1 and advanced PGY-2 applications.
- The Token does not include Certification, program fees, transcripts, ResidencyCAS, or NRMP.
- IMGs may obtain the Token before completing Certification examinations, but later eligibility gates still apply.
Fast answer
The ECFMG ERAS Token for 2027 is a one-time code that lets an IMG register for the AAMC MyERAS residency application. It became available June 24, 2026, costs $185, and is nonrefundable.
Request it in MyIntealth under Services → ERAS Support Services → ERAS Token Request. After processing, retrieve the code on that tab and register it once in MyERAS using the correct AAMC account.
One Token covers every ERAS specialty and program during the 2027 season, including a PGY-1 position beginning in 2027 and an advanced PGY-2 position beginning in 2028.
The Token is not ECFMG Certification, a Pathway, a USMLE transcript, a program application, a signal, ResidencyCAS access, or NRMP Match registration. Each has a separate workflow and possibly a separate fee.
What the $185 Token buys
The Token price is a portal-access and IMG support charge. It does not create a bundle of program applications.
Budget the Token before program fees so a correct total does not omit the first required IMG-specific purchase.
| Included | Not included |
|---|---|
| Registration access to 2027 MyERAS residency | MyERAS program application fees |
| One code for all ERAS specialties | FSMB USMLE transcript |
| ERAS Support Services relationship with ECFMG | ECFMG Certification application |
| Automatic ECFMG Status Report service | 2027 Pathway application |
| Stored-document reuse when eligible | NRMP Match registration |
| PGY-1 and advanced PGY-2 ERAS access | ResidencyCAS support fee |
Eligibility to request the Token
ECFMG allows Token purchase and ERAS application before the examinations required for Certification are complete.
That access rule does not make every program eligible. A program can require Step 2 CK, ECFMG Certification, a specific graduation year, particular work authorization, or other criteria at application.
NRMP requires IMGs to meet the examination requirements for ECFMG Certification by its Rank Order List Certification deadline. Token access and Match eligibility are separate gates.
| Requirement | Needed for Token / ERAS? |
|---|---|
| MyIntealth Identification Number | Yes |
| USMLE Identification Number | Yes |
| Completed ECFMG Certification exams | No, not for ERAS access |
| Accepted Pathway | No, not for Token purchase |
| ECFMG Certificate issued | No, not for Token purchase |
| Individual program eligibility | Required by each program independently |
| State licensure eligibility | Applicant responsibility independently |
Verify the application service before buying
ECFMG warns applicants to confirm that they plan to apply to at least one ERAS-participating program before requesting the nonrefundable Token.
Some residency specialties use another application service. For 2027, ECFMG specifically directs applicants considering Emergency Medicine and Obstetrics and Gynecology to its ResidencyCAS support guidance.
A residency Token does not automatically pay or register a ResidencyCAS application. Research the exact program and track, not only the specialty name.
MyIntealth request workflow
If the degree medical school is wrong, follow the on-screen resolution instructions. The current MyIntealth guide says the Token request cannot proceed until that information is correct.
Do not expose the Token in screenshots, public spreadsheets, group chats, or advising forums. Treat it like a one-time credential.
| Stage | Action |
|---|---|
| 1 | Log in to MyIntealth Applicant Portal |
| 2 | Open Services → ERAS Support Services |
| 3 | Open ERAS Token Request tab |
| 4 | Select Request ERAS Token |
| 5 | Open and accept Token Request Disclosures |
| 6 | Review contact information and citizenship status |
| 7 | Confirm degree medical school |
| 8 | Review Token Request Summary |
| 9 | Proceed to cart and payment |
| 10 | Save the confirmation and case number |
| 11 | Return to ERAS Token Request tab |
| 12 | Retrieve the issued code |
Payment and nonrefundability
The $185 fee is due in MyIntealth at the time of request and is nonrefundable. The current portal offers its supported payment methods at checkout.
A program later deciding not to consider the applicant does not refund the Token. Nor does discovering that the intended program uses another service.
Save the MyIntealth case number and payment confirmation. They identify the request if issuance or account display fails.
Where the issued Token appears
After ECFMG processes the request, the code appears on the ERAS Token Request tab in MyIntealth.
ECFMG says it remains accessible there throughout the application season. Losing a copied note does not require buying another Token.
The code is not the MyIntealth ID, USMLE ID, AAMC ID, or NRMP ID. Do not paste another identifier into MyERAS's Token field.
Register the Token in MyERAS
A Token can be registered only once. Stop before final confirmation if the AAMC account, medical school, applicant type, or season appears wrong.
Using a Token from the wrong school or Designated Dean's Office can prevent documents from uploading accurately. ECFMG is the Designated Dean's Office for IMG residency applicants.
- Go to the current AAMC MyERAS website.
- Sign in to the correct existing AAMC account or create one if none exists.
- Enter the 2027 Token exactly.
- Accept the MyERAS terms and conditions.
- Review or enter medical school information.
- Review the AAMC policy notice.
- Confirm the registration information.
- Import eligible prior application data or LoRs if offered.
- Save proof that the 2027 application dashboard opened.
Use the correct AAMC account
An applicant should not create a second AAMC account merely because an old password or email is unavailable. Duplicate accounts can split identifiers, prior ERAS data, and Fee Assistance history.
Recover the existing account or contact AAMC account support before registering the one-time Token.
After registration, confirm the AAMC ID and MyIntealth-linked applicant information are the expected records.
One Token covers multiple specialties
The 2027 residency Token can be used for as many ERAS specialties and programs as the applicant chooses during the season.
A dual-specialty applicant does not purchase two Tokens. Program application fees, document assignments, statements, letters, specialty questions, and signals still need specialty-specific planning.
The application-fee count resets by specialty, but the Token does not.
One Token covers clinical and advanced positions
ECFMG states that the same 2027 Token can be used to apply for a clinical-year PGY-1 position beginning in 2027 and an advanced PGY-2 position beginning in 2028.
A radiology, neurology, anesthesiology, or other advanced applicant may therefore use one Token for both the advanced program and eligible preliminary or Transitional Year programs in ERAS.
Each program application still incurs its applicable fee and must receive the correct documents.
The Token is season-specific
A 2026 code will not work for the 2027 season, and a 2027 code cannot be saved for 2028.
The application season is defined by ERAS, not only the residency start year. The 2027 Token opened in June 2026 for positions generally beginning in 2027.
Confirm both the label and intended season before paying.
The Token does not register the Match
An applicant can have a complete MyERAS application and still be unregistered for NRMP. The reverse is also possible.
Track each system with its own ID, payment receipt, deadline, and status.
| System | Purpose | Separate action |
|---|---|---|
| MyIntealth / ECFMG | Issue IMG residency Token | Pay $185 and request |
| MyERAS / AAMC | Apply to participating programs | Register Token, certify, pay applications |
| NRMP R3 | Participate in Match and rank | Register separately and pay NRMP |
Token registration activates document reuse
For an eligible repeat IMG applicant, registering the 2027 Token triggers ECFMG's process for reusing stored MSPE, medical school transcript, and photograph.
ECFMG says those stored documents upload to the 2027 MyERAS application within five business days after Token registration.
LoRs use the separate MyERAS History import process. Scholarly Work cannot be imported from the old Publications section because the 2027 section was redesigned.
Do not mistake successful Token registration for immediate document availability.
Common Token errors
| Problem | Likely cause | Next step |
|---|---|---|
| Token invalid | Wrong season or transcription | Retrieve exact 2027 code in MyIntealth |
| Token already used | Registered once or account mismatch | Check correct AAMC account; contact support |
| Request cannot continue | Medical school record issue | Follow MyIntealth resolution instructions |
| No Token tab option | Eligibility or account setup incomplete | Verify MyIntealth and USMLE IDs |
| Documents missing | Registration just completed | Allow reuse processing; check owner workflow |
| Intended program absent | Wrong service or nonparticipation | Verify program directly |
| AAMC import absent | No eligible prior certified application | Review import rules |
Token versus ResidencyCAS support
ECFMG lists the 2027 ERAS Token and 2027 ResidencyCAS application support as separate $185 services.
Applicants using both services should follow ECFMG's cross-service instructions for MSPE, transcript, and Status Report delivery. Paying one service does not silently enroll the other.
Confirm each individual program's application platform before purchase because application-service fees are nonrefundable.
Common mistakes
- Buying the Token before confirming any program uses ERAS.
- Assuming the Token includes program applications.
- Assuming it includes the USMLE transcript.
- Assuming it completes ECFMG Certification or a Pathway.
- Assuming it registers NRMP.
- Buying separate Tokens for separate specialties.
- Buying separate Tokens for preliminary and advanced programs.
- Trying to reuse a prior-season code.
- Registering the Token in a duplicate AAMC account.
- Entering a MyIntealth ID or AAMC ID in the Token field.
- Sharing the code.
- Ignoring incorrect medical-school information during request.
- Treating the Token as refundable.
- Assuming Token registration instantly imports every document.
- Expecting old Publications to import into 2027 Scholarly Work.
- Using an IMG residency Token for fellowship.
- Assuming ResidencyCAS is included.
- Failing to save the request case number and receipt.
Final checklist
- I have a MyIntealth Identification Number.
- I have a USMLE Identification Number.
- At least one intended program participates in ERAS.
- I verified the application service for every target program.
- I understand the $185 fee is nonrefundable.
- I budgeted program, transcript, Certification, Pathway, and NRMP fees separately.
- My contact and medical school information are correct in MyIntealth.
- I requested the 2027 residency Token under ERAS Support Services.
- I saved the case number and payment receipt.
- I retrieved the issued code from MyIntealth.
- I recovered the correct existing AAMC account.
- I registered the Token only once.
- The 2027 MyERAS dashboard opened under the correct AAMC ID.
- I reviewed import choices carefully.
- I allowed time for stored-document reuse.
- I registered separately with NRMP if participating in the Match.
- I kept the Token private.
Bottom line
The 2027 ECFMG ERAS Token is a $185 nonrefundable, season-specific access code for IMG residency applicants. Request it through MyIntealth and register it once in the correct AAMC MyERAS account.
One code covers all ERAS specialties and both clinical-year and advanced positions in the season. It does not cover program fees, transcripts, Certification, Pathways, ResidencyCAS, or NRMP.
Verify the program's application service before buying, preserve the case number, and stop to resolve identity or school discrepancies before one-time registration.
This guide reflects official information available July 18, 2026. The live MyIntealth request, AAMC registration flow, ECFMG eligibility rules, and each program's current application platform control.
Official resources
Common questions
How much is the ECFMG ERAS Token for 2027?
The 2027 IMG residency Token costs $185 and is nonrefundable. The fee is paid in MyIntealth when the Token is requested. It does not include MyERAS program fees, the FSMB USMLE transcript fee, ECFMG Certification or Pathway fees, or NRMP registration.
When did ERAS 2027 Tokens become available?
ECFMG released 2027 residency Tokens on June 24, 2026. On the same date, IMG applicants could register the code at AAMC's MyERAS website and begin the 2027 residency application.
Where does an IMG buy the ERAS 2027 Token?
Use the MyIntealth Applicant Portal. Open Services, select ERAS Support Services, open the ERAS Token Request tab, and choose Request ERAS Token. After disclosures, identity and school review, and payment, retrieve the code from the ERAS Token Request tab.
Do I need ECFMG Certification before buying an ERAS Token?
No. ECFMG says an IMG with a MyIntealth Identification Number and USMLE Identification Number may buy a residency Token and apply through ERAS before completing the examinations required for Certification. Programs, NRMP, licensure, and residency start have separate eligibility deadlines.
Do I need more than one Token for two specialties?
No. One 2027 residency Token can be used for all ERAS specialties and programs during that season. It also covers both a 2027 PGY-1 clinical-year application and a 2028 PGY-2 advanced application. Program application fees are still charged separately.
Can I use my 2026 ERAS Token for 2027?
No. MyERAS will not recognize a Token from a previous season. A Token can be registered only once and the 2027 code is valid only for the 2027 ERAS season.
Does registering the ERAS Token register me for the Match?
No. MyERAS and NRMP are separate systems. The Token creates access to the 2027 MyERAS residency application. Applicants intending to enter the Main Residency Match must register separately with NRMP and meet ECFMG examination requirements by the applicable deadline.
What should I do if I lose my ERAS Token?
Return to MyIntealth's ERAS Support Services and open the ERAS Token Request tab. ECFMG says an issued Token remains accessible there throughout the season. Do not buy another code or share the existing one.
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