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Before you start

Before you submit: Make sure the practice EIN/TIN, each clinician’s individual rendering NPI, the practice or claim-service address, and other practice details you give this plan exactly match the information in Thrizer. Use this guide when Arkansas Blue Cross and Blue Shield is a required Local / Host Plan for your practice or claim-service location. A group registers its practice and associates its clinicians; the payer’s Hub also requires individual provider records. If registration is incomplete, claims can be delayed. Not sure which plan applies? First identify your required Local / Host Plan. Registration is separate from joining a network.

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Start with the record you need

Confirm the submission method before sending sensitive registration material. The organization form’s printed Network Development Representative link currently returns 404. Contact Arkansas Blue Cross Provider Support or Network Development for the current submission destination and method. Keep the payer’s confirmation and any reference number, then submit through that confirmed route. A completed form is not a submitted or active registration.
1

Establish a new group if needed

Open Arkansas Blue Cross’s current Request for Application (Organization). For a new professional group, choose Clinic/Group and, under Networks requested, Non participating.Confirm the current submission destination as described above, then submit the completed organization request through the payer-confirmed route and keep a copy and receipt. The payer’s current clinic onboarding page describes EFT enrollment, a bank letter, and a W-9 after application acceptance, but it does not say whether those follow-up requirements apply to the nonparticipating option. Confirm that point with Arkansas Blue Cross rather than treating those items as established nonparticipating requirements.If your group already has a record, confirm that record rather than submitting another new-group request.
2

Request the individual non-participating application

Open the current Request for Application (Provider). The opening question still explains that currently on staff means already enrolled with Arkansas Blue Cross, not employed by Thrizer. Answer according to the existing payer record.The prior Hub guide that documented the later nonparticipating choice no longer loads. Do not rely on the former guide as current confirmation of that later branch. Confirm the current nonparticipating route with Arkansas Blue Cross before continuing.
3

Connect the clinicians to the practice

The organization form directs clinicians being attached to a new clinic/group to complete and upload the clinic authorization form in the Hub.The former Hub guide documented the non-par route as requiring an active individual NPI, active license, and an eligible Arkansas or contiguous-county practice location. Because that guide no longer resolves, confirm those requirements and the correct affiliation process with Arkansas Blue Cross before relying on them.
4

Have the clinician review and submit

The former Hub guide said an administrator could prepare and save the initial application while the clinician had to log in, review it, and submit it. Confirm the current submission sequence before relying on that instruction. Answer all questions accurately and complete only the documents that apply.Keep the submission confirmation. Ask Arkansas Blue Cross to confirm when the practice record and every required clinician association are active, including the effective date and whether any further step is required. Submission alone does not establish activation.

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If the form does not fit

Contact the regional representative before continuing. Do not select a facility type, different location, or in-network agreement just to get past a required field. The older dental non-participating checklist is not this professional-provider process.

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What happens next

While waiting for confirmation, follow the pending-registration guidance. Keep the payer’s references when checking status; do not submit a duplicate unless instructed. Once each required plan confirms registration and the required clinician associations are active, notify Thrizer support and review what happens next. The payer controls registration and claim decisions. Registration does not guarantee reimbursement or recognition of every clinician category. For associate, pre-licensed, or supervised clinicians, ask the payer about recognition and review Thrizer’s supported claim structure.