> ## 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 Independence Blue Cross out of network

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

## Before you start

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.

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.

## Register the applicable NPIs

<Steps>
  <Step title="Open professional-provider registration">
    Open [Independence's National Provider Registration page](https://www.ibx.com/resources/for-providers/claims-and-billing/national-provider-identifier/national-provider-registration.html) and follow its professional-provider link.

    At the [registration form](https://fhnportal.ibx.com/nonpar/form), choose **Professional Provider**. Do not choose **Facility/Ancillary** solely because you have a group practice.
  </Step>

  <Step title="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.
  </Step>

  <Step title="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.
  </Step>

  <Step title="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.
  </Step>
</Steps>

## If a record already exists

Confirm its status with Independence before submitting another initial application. A new portal account or submission receipt is not proof of an active provider record.

## 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).