Get the free Facilities NPI Submission Form - highmarkbcbsdecom

NPI Submission Form for Facilities and Other Organizations Blue Cross Blue Shield of Delaware is an independent licensee of the Blue Cross and Blue Shield Association. For health care organizations

How to fill out facilities npi submission form

How to fill out facilities NPI submission form:

1. Start by gathering all the necessary information and documentation required for the form, such as the facility's name, address, contact details, and NPI number if applicable.
2. Carefully read through the instructions and guidelines provided with the form to understand the specific requirements and guidelines for filling it out correctly.
3. Begin filling out the form by entering the facility's basic information in the designated sections, including its legal name, any alternative names, and its address.
4. If the facility has multiple locations, provide details for each location individually or as instructed in the form.
5. Proceed to the section requesting information about the facility's primary contact person, which may include their name, title or role, email address, and phone number.
6. Include details about the facility's primary specialty or the type of services it offers, if applicable or required by the form.
7. Move on to providing any additional information that the form requires, such as details about the facility's ownership, certifications, accreditations, or any other relevant credentials.
8. Double-check all the information you entered to ensure accuracy and completion.
9. If necessary, review the form for any additional supporting documentation that may be required, such as a copy of the facility's license or certification.
10. Follow the submission instructions provided with the form, whether it is to submit it online, by mail, or through any other specified method.

Who needs facilities NPI submission form:

1. Healthcare facilities, such as hospitals, clinics, nursing homes, or ambulatory surgery centers, that provide medical services to patients.
2. Non-medical facilities that require an NPI number for specific reasons, such as medical billing or insurance purposes.
3. Facilities that need to update or modify their existing NPI information, such as changes in ownership, location, or contact details.

Note: The exact criteria for who needs the facilities NPI submission form may vary depending on the specific requirements set by the National Provider Identifier (NPI) system and any applicable regulatory bodies. It is always recommended to consult the official guidelines or seek professional advice when determining whether your facility requires the NPI submission form.

For pdfFiller’s FAQs

What is facilities npi submission form?

The facilities NPI submission form is a document used to report National Provider Identifiers for healthcare facilities.

Who is required to file facilities npi submission form?

Healthcare facilities are required to file the facilities NPI submission form.

How to fill out facilities npi submission form?

To fill out the facilities NPI submission form, you will need to provide information about the healthcare facility and its National Provider Identifier.

What is the purpose of facilities npi submission form?

The purpose of the facilities NPI submission form is to ensure accurate reporting of National Provider Identifiers for healthcare facilities.

What information must be reported on facilities npi submission form?

The facilities NPI submission form must include information such as the name and address of the healthcare facility, as well as its National Provider Identifier.

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