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Get the free National Provider Identifier (NPI) Submission Form

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What is national provider identifier npi

The National Provider Identifier (NPI) Submission Form is a healthcare document used by providers to submit their NPI to Blue Cross and Blue Shield of Illinois.

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Who needs national provider identifier npi?

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National provider identifier npi is needed by:
  • Healthcare providers submitting NPI.
  • Administrative staff for healthcare organizations.
  • Billing and coding professionals managing claims.
  • Practitioners implementing HIPAA compliance.
  • New providers seeking BCBS enrollment.

How to fill out the national provider identifier npi

  1. 1.
    Access the National Provider Identifier (NPI) Submission Form on pdfFiller by entering the URL or uploading the form directly.
  2. 2.
    Once the form is open, familiarize yourself with its sections, which include general information, NPI, primary office address, and contact details.
  3. 3.
    Before filling out the form, ensure you have your NPI number, tax ID, and any existing BCBS provider numbers ready for input.
  4. 4.
    Begin by clicking into the field for 'Physician’s/Provider’s Last Name' and enter your last name clearly without any abbreviations.
  5. 5.
    Continue to the next fields, entering your tax ID number and relevant details as prompted, making sure you double-check each entry for accuracy.
  6. 6.
    Provide your primary office address in the designated area, ensuring all information is up-to-date to avoid processing delays.
  7. 7.
    After completing all fields, revisit each section to review your entries, confirming they align with your documents and information.
  8. 8.
    Once you're satisfied that all fields are correctly completed, navigate to the ‘Preview’ option to view the filled form before submission.
  9. 9.
    To save your progress, choose the ‘Save’ option; this allows you to return later if needed. Alternatively, download a copy for your records.
  10. 10.
    If you’re ready to submit, utilize the ‘Submit’ function that allows for electronic submission or follow the instructions for mailing or faxing the completed form as necessary.
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FAQs

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Contact Support
Healthcare providers seeking to register their NPI with Blue Cross and Blue Shield of Illinois are eligible to submit this form.
You must submit a copy of the enumerator’s letter or confirmation email along with the completed NPI Submission Form to ensure proper processing.
While there is no ongoing deadline, ensure submission is timely to avoid delays in claim payments as NPI became essential in HIPAA transactions from May 23, 2007.
You can mail or fax the completed form as instructed on the form itself. Make sure to keep a copy for your records.
Common mistakes include incorrect information entry, missing signatures, or failing to attach the required supporting documents. Always double-check your submission.
After submission, the processing of your form typically occurs within a few weeks. Monitor your claims and follow up if you don't receive confirmation.
No, notarization is not required when submitting the National Provider Identifier Submission Form.

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