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Provider / Organization NPI Submission Form Use this form to submit your NPI. Please complete a separate form for each payer to the payers listed below. Blue Cross and Blue Shield of Minnesota, BC
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MN NPI submission form is a form used to apply for or update National Provider Identifier (NPI) information in the state of Minnesota.
Healthcare providers who need to obtain or update their National Provider Identifier (NPI) information in the state of Minnesota are required to file the MN NPI submission form.
To fill out the MN NPI submission form, you need to provide your personal and professional information, including your name, contact details, identification numbers, practice address, and other relevant information as per the instructions provided on the form.
The purpose of the MN NPI submission form is to allow healthcare providers to apply for or update their National Provider Identifier (NPI) information in the state of Minnesota, which is required for various healthcare-related activities such as billing, insurance claims, and referrals.
The MN NPI submission form typically requires healthcare providers to report their personal information, contact details, identification numbers, practice address, and other relevant information as per the guidelines provided on the form.
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Related Links

Announcing the Revised CMS-10114 National Provider ...
Feb 10, 2021 — The National Provider Identifier (NPI) Application/Update Form ... onto the National Plan and Provider Enumeration System (NPPES) and apply ...
EFTERAInstructions - UCare
A reason and sub-reason for submission must be selected for the form. 1. ... A National Provider Identifier (NPI) is a unique ten-digit identification number for ... UCare® is a registered service mark of UCare Minnesota and UCare Health, Inc.
MHCP Provider Enrollment Information - Minnesota Department of ...
20 Mar 2015 ... Minnesota Health Care Programs (MHCP) Provider Enrollment responds to ... Your NPI/UMPI is required on all claims submitted to MHCP, and allows you to be paid ... Complete, sign and return to MHCP the following forms:.

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