> ## 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 AZ Blue out of network

> Follow the non-participating provider registration steps for AZ Blue and confirm your practice and clinician records.

## Before you start

Use this guide when AZ Blue is a required Local / Host Plan for your practice or claim-service location. Its non-contracted provider form creates or updates the information needed for claims processing; it is not a network-contract application.

If registration is incomplete, claims can be delayed. 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). Registration is separate from joining a network.

## Complete the professional-provider form

<Steps>
  <Step title="Download the current form">
    Open [AZ Blue's provider forms](https://www.azblue.com/provider/resources/forms) and select **Non-Contracted Provider Information**. Download the form before filling it out.
  </Step>

  <Step title="Identify the clinician and practice">
    For an individual professional, complete **sections 1 and 3**, plus the contact-person fields. Section 1 includes the clinician's individual NPI and the applicable group name, DBA, and organization NPI.

    A group of therapists is not a facility simply because it has several clinicians. **Section 2** is for facilities.
  </Step>

  <Step title="Add billing and location information">
    In Section 3, enter the practice's TIN and the date the clinician began billing under it. Complete the physical service, billing, mailing, and medical-record addresses as requested. Follow the form's instructions when an address is the same as another.
  </Step>

  <Step title="Review, sign, and send">
    Have the authorized person review and electronically sign the form, save it, and send it with applicable supporting documents to **[ProvNet@azblue.com](mailto:ProvNet@azblue.com)**. Keep a copy and ask AZ Blue to confirm when the record is active.
  </Step>
</Steps>

## Groups and existing records

Your practice coordinates the clinicians' records under its billing information. If you need to add several clinicians or update an existing record, ask AZ Blue which forms or affiliation steps it needs. Do not assume the form supports a bulk roster.

For form questions, call **602-864-4231** or **800-232-2345**, as listed on the [current form](https://edge.sitecorecloud.io/bluecross-6f8ea2ea/media/project/bcbs-az/azblue/data/media/files/providers/resources/forms/non-contracted-provider-information/noncontracted_provider_information_form.pdf).

## 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).

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](/help/claims/bcbs-reimbursement-and-registration#associate-pre-licensed-or-supervised-clinicians).