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 Independence Blue Cross is a required Local / Host Plan for your practice or claim-service location. Nonparticipating NPI registration creates the provider record needed for claims processing. This is not a network application or registration with every Pennsylvania Blue plan. Independence Blue Cross’s assigned service area is Bucks, Chester, Delaware, Montgomery, and Philadelphia counties in southeastern Pennsylvania. Highmark’s map also shows these five counties. For a practice location they share, plan to register with each company separately. 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.Register the applicable NPIs
1
Open professional-provider registration
Open Independence’s National Provider Registration page and follow its professional-provider link.At the registration form, choose Professional Provider. Do not choose Facility/Ancillary solely because you have a group practice.
2
Choose the NPI type
Select Individual for a clinician’s individual NPI or Organization for the practice’s organizational NPI. Independence requires a separate form for each NPI.Your practice coordinates the needed organization and clinician records. Ask Independence to confirm how those records are linked; registering the organization alone is not confirmation that every clinician is registered.
3
Enter the provider information
In the Provider tab, enter the NPI, effective date, tax identification, specialty, and the requested individual or organization information. Prepare the NPI confirmation and W-9 required by Independence.
4
Complete the remaining tabs and review
Continue through Address, Contact, Documentation, and Review & Submit. Follow the form’s required fields and upload requests using your actual information.Review before submitting, keep the confirmation, and ask Independence when the records and required affiliations are active.