> ## Documentation Index
> Fetch the complete documentation index at: https://docs.thrizer.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Register with BCBS of Alabama out of network

> Use Alabama's Auxiliary Provider Application to establish a nonparticipating clinician record for claims processing.

## Before you start

Use this guide when BCBS of Alabama is a required Local / Host Plan for your practice or claim-service location. Your practice coordinates registration and any required clinician records so the payer can process affected claims. Registration is separate from joining a network and does not guarantee reimbursement.

Not sure which plan applies? First [identify your required Local / Host Plan](/help/claims/bcbs-reimbursement-and-registration#find-and-register-with-your-local-/-host-plan).

Open the [Medical Practitioners page](https://providers.bcbsal.org/portal/resources/-/resource/viewArticle/JULTFYTRPE). Under the instructions for practitioners who are **not interested in participating**, download the **Auxiliary Provider Application**. Do not use the separate network-participation or Lucet application.

## Registration steps

<Steps>
  <Step title="Choose the request">
    For a new record, select **Add New Provider/Facility**. If the clinician already has a record, confirm the appropriate update request with Alabama instead.
  </Step>

  <Step title="Identify the clinician and practice">
    Complete **Provider Information** with the clinician's individual NPI, license, specialty, and requested service-location information. In **Payee/Remittance Information**, enter the actual practice legal name, TIN, and applicable payee NPI.
  </Step>

  <Step title="Keep reimbursement going to the client">
    Under **Please make all payments to**, select **To Patient** for BCBS claims through Thrizer. The payee-information fields do not mean you should elect payment to the clinician.
  </Step>

  <Step title="Review, sign, and fax">
    Have the authorized person review and sign the application, then fax it to **205-220-9545**, as shown on the [current form](https://providers.bcbsal.org/portal/documents/10226/301829/Auxiliary%2BProvider%2BApplication/01d194a1-df4c-4da3-a589-a5335c3fbefc). Keep a copy and ask Alabama to confirm when the record is active.
  </Step>
</Steps>

## If you have several clinicians

Your practice coordinates its clinician records. Ask Alabama which affiliation steps it needs for the group; do not assume this individual application includes a bulk roster or have each clinician establish a separate practice.

## What happens next

Once each required plan confirms registration and the required clinician associations are active, [notify Thrizer support and review what happens next](/help/claims/bcbs-reimbursement-and-registration#registration-confirmed-next-steps).

For associate, pre-licensed, or supervised clinicians, confirm payer recognition separately and review [Thrizer's supported claim structure](/help/claims/bcbs-reimbursement-and-registration#associate-pre-licensed-or-supervised-clinicians).