> ## 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.
# Blue KC: out-of-network registration
> Check Blue KC's Kansas and Missouri counties, confirm the nonparticipating registration route, and verify your practice and clinician records.
## Before you start
Use the practice or claim-service location used for billing, not the client's address or Home Plan on their insurance card. First [identify your required Local / Host Blue Plan](/help/claims/blue-plan-registration-guides).
[Blue KC's September 2026 provider guide, page 8](https://providers.bluekc.com/Content/PDFs/PRG/2026-ProviderReferenceGuide.pdf#page=8), lists these counties:
* **Kansas:** Johnson and Wyandotte. For other Kansas counties, use the [BCBS of Kansas guide](/help/claims/bcbs-ks-provider-registration).
* **Missouri:** Andrew, Atchison, Bates, Benton, Buchanan, Caldwell, Carroll, Cass, Clay, Clinton, Daviess, DeKalb, Gentry, Grundy, Harrison, Henry, Holt, Jackson, Johnson, Lafayette, Livingston, Mercer, Nodaway, Pettis, Platte, Ray, St. Clair, Saline, Vernon, and Worth. Outside that area, check the [Anthem guide](/help/claims/bcbs-anthem-provider-registration).
If telehealth or multiple billing locations make the applicable company unclear, confirm it with the payer before sending registration material.
## Start with the record you need
* **First registration or unsure whether a record exists:** Ask Blue KC whether a nonparticipating practice record already exists under your tax ID and service location, then confirm the new-record process below.
* **Adding a clinician:** Ask how to enroll the individual if needed and associate their rendering NPI with the existing practice. Do not create another practice just to add a clinician.
* **Already submitted:** [Check the pending registration](/help/claims/provider-registration#registration-pending) with your submission reference. Do not send a duplicate unless Blue KC asks you to.
* **Practice and required clinician affiliations active:** [Notify Thrizer Support](/help/claims/provider-registration#registration-confirmed-next-steps).
**Confirm the current route with Blue KC before submitting.** Its published out-of-network form includes an older behavioral-health website reference. The current contact page lists Lucet for behavioral health. Confirm which team handles your practice and clinicians, what documents it needs, and where to send them.
## Confirm and complete the payer request
Use [Blue KC's provider contacts](https://providers.bluekc.com/ContactUs/Index) or the **Provider Hotline, 816-395-3929**. Explain: "We need a nonparticipating practice record for out-of-network claims under our tax ID and service location. How do we establish the record and associate every rendering clinician?"
Ask whether its **Provider Out of Network Form** applies to your provider type and whether separate individual records, a group record, or additional affiliation steps are required. For behavioral health, the contact page lists **Lucet, 816-237-2354**; confirm whether Blue KC, Lucet, or both must handle your records.
Blue KC's [Forms page](https://providers.bluekc.com/Forms) lists **Provider Out of Network Form** under Provider Services. The [published form](https://providers.bluekc.com/content/PDFs/ProviderForm_ProviderOON.pdf) has individual practitioner and group sections and requests a current IRS W-9 and state-license copy. Its practitioner NPI is the individual clinician's NPI; its group NPI field applies when billed on the claim.
Have the practice's legal name, tax ID, applicable billing/group NPI, service locations, and each clinician's rendering NPI and license information ready. Make these details match Thrizer. Ask how to complete the group section for a solo practice, how to include every clinician, and what effective date to enter. Do not guess fields or replace a rendering NPI with the group NPI.
Confirm the current submission destination and method, including whether the form's printed fax instructions apply to your practice. Retain the payer's advice and any reference number before sending sensitive material. Complete only the confirmed requirements, have the authorized person review them, then submit through the confirmed route. Keep a copy and submission receipt.
The form says providers are loaded as nonparticipating until credentialed and contracted. Joining a network is a separate process; do not sign a network agreement merely to complete out-of-network registration.
Use your reference to ask the payer to confirm that the practice record and every required rendering-clinician affiliation are active. Ask for the effective date, any remaining steps, and its status-check timing. A form receipt does not establish activation.
While waiting, [follow the pending-registration guidance](/help/claims/provider-registration#registration-pending). Once all required records are active, [send the approval confirmation and related documents to Thrizer Support](/help/claims/provider-registration#registration-confirmed-next-steps).
## Portal access is separate
Blue KC's contact page describes its [TIN-and-NPI registration screen](https://providers.bluekc.com/NonParticipating/ProviderIdentification) as a route to create an online provider portal account. It does not establish that this screen creates a first-time nonparticipating payer record or clinician affiliation. Portal login, Availity access, electronic remittance, and electronic payment setup are separate from confirmation of active payer records.
For BCBS claims through Thrizer, reimbursement goes to the client. If the form's remittance fields appear to require practice payment or assignment of the client's reimbursement, ask the payer how to register for **member reimbursement** before continuing. Registration does not guarantee clinician recognition, claim approval, or reimbursement.
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