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I understand BCBSAL will provide its written decision on this Application. Provider Name Internal Use Only Individual NPI National Provider Identifier Organizational NPI Practice Name Tax ID Number E-mail Office Phone Fax Number Office Address City State Zip County Mailing Address Provider Signature Date Submission Instructions Fax Fax the signed and completed form to Attn Credentialing 1-205-220-9545 PRV20041-1708 Mail Blue Cross and Blue Shield of Alabama Attn Credentialing Post Office Box...
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What is practitioner network interest?
Practitioner network interest is the disclosure of a practitioner's financial interests in a healthcare network.
Who is required to file practitioner network interest?
Practitioners who participate in a healthcare network are required to file practitioner network interest.
How to fill out practitioner network interest?
Practitioners can fill out practitioner network interest by providing details of their financial interests in a healthcare network.
What is the purpose of practitioner network interest?
The purpose of practitioner network interest is to promote transparency and prevent conflicts of interest in healthcare networks.
What information must be reported on practitioner network interest?
Practitioners must report details of their financial interests, such as ownership stakes or compensation arrangements, in a healthcare network.
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