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This form is used to report the National Provider Identifier (NPI) numbers for organizations and individual providers associated with Blue Cross and Blue Shield of Alabama.
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How to fill out npi notification form

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How to fill out NPI Notification Form

01
Obtain the NPI Notification Form from the appropriate healthcare authority or website.
02
Fill out personal information, including your name, address, and phone number.
03
Provide your National Provider Identifier (NPI) number if you have one.
04
Include your professional credentials and the type of healthcare provider you are.
05
Indicate your practice location and any affiliated organizations.
06
Specify the reason for your application or notification.
07
Review the form for accuracy and completeness.
08
Sign and date the form.
09
Submit the form following the provided submission guidelines.

Who needs NPI Notification Form?

01
Healthcare providers who are applying for or updating their NPI.
02
Organizations that employ or contract with healthcare providers.
03
Any professional required to report changes in their NPI status.
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People Also Ask about

The purpose of the National Provider Identifier (NPI) is to uniquely identify a health care provider in standard transactions, such as health care claims.
You can lookup a National Provider ID (NPI) on the National Plan & Provider Enumeration (NPPES) website by clicking Search NPI Registry.
The NPI is a 10-digit number that will be used to identify you to your health care partners, including all payers, in all HIPAA standard transactions. The NPI will replace the identifiers you currently use in HIPAA standard transactions that you conduct with Medicare and with other health plans.
The NPI is a 10-digit permanent numeric identifier that is assigned to a health care provider by the Centers for Medicare & Medicaid Services (CMS). It must be used on electronic claim transactions for health care billing and reimbursement.

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The NPI Notification Form is a document used by healthcare providers to report their National Provider Identifier (NPI) information to the appropriate authorities.
Healthcare providers and organizations that assign or need to obtain a National Provider Identifier (NPI) are required to file the NPI Notification Form.
To fill out the NPI Notification Form, participants should provide accurate details such as their name, address, NPI number, and any relevant credentials as indicated on the form.
The purpose of the NPI Notification Form is to ensure that healthcare providers are properly identified and that their NPI data is accurately recorded in the National Plan and Provider Enumeration System (NPPES).
The information that must be reported on the NPI Notification Form includes the provider's name, address, tax identification number, type of provider, and NPI number.
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Relevant keywords

NPI National Provider Identifier provider information Blue Cross Blue Shield credentialing payee information healthcare provider number tax ID contact information

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