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Keeping providers informed about the National Provider Identifier (NPI) and the submission requirements for the UB-04 Claim Form at Blue Cross and Blue Shield of Texas.

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How to fill out npi submission form

How to fill out NPI Submission Form

01

Visit the National Plan and Provider Enumeration System (NPPES) website.

02

Click on the 'NPI Application' link to access the submission form.

03

Choose to submit an application as an individual or organization.

04

Fill in the required personal identification information, including your name, date of birth, and Social Security number.

05

Provide your business or practice address, including phone number and fax number.

06

Enter your taxonomy code, which defines your specialty or type of provider.

07

Review your information for accuracy.

08

Submit the form online or print it out to mail it to the designated address.

09

Keep a record of your submission confirmation for future reference.

Who needs NPI Submission Form?

01

Healthcare providers including physicians, nurses, and therapists.

02

Healthcare organizations such as hospitals and clinics.

03

Billing services and other healthcare industry professionals.

04

Anyone needing to engage with Medicare, Medicaid, or other health insurance plans.

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What is NPI Submission Form?

The NPI Submission Form is a document used to apply for a National Provider Identifier (NPI), a unique identification number assigned to healthcare providers in the United States.

Who is required to file NPI Submission Form?

All healthcare providers who wish to bill for services covered by Medicare, Medicaid, or private insurers are required to file the NPI Submission Form.

How to fill out NPI Submission Form?

To fill out the NPI Submission Form, you need to provide personal information, including your name, date of birth, social security number, and contact information, as well as information regarding your practice or organization.

What is the purpose of NPI Submission Form?

The purpose of the NPI Submission Form is to obtain a unique identifier for healthcare providers, which is used for billing and administrative purposes in the healthcare system.

What information must be reported on NPI Submission Form?

The NPI Submission Form requires reporting personal identifiers such as name, date of birth, and social security number, as well as information about the healthcare provider's type, specialty, and practice location.

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