Provider Registration Form
(All fields are mandatory)
Your 10-digit Provider Number or NPI from PCR
(As it appears on your PCR)
Your Federal TAX Number from PCR
Your First Name
Your Last Name
Create Your User ID
(Case sensitive | Any combination of letters and numbers | Minimum 5 characters | No spaces, symbols or special characters)
(Case Sensitive | Minimum of 8 letters and numbers | Minimum one numeric value | No spaces, symbols or special characters)
Contact E-Mail Address
Confirm E-Mail Address
Create A Challenge Question
(Please enter a question only you can answer.)
Create Answer to the above question
(Case sensitive | 1 word only | No spaces or special characters.)
Accept Terms and Conditions
Please refer to the "
Terms and Conditions
" before registering.
Office Administrator Registration
Thank you for registering for Blue Cross and Blue Shield of Montana Provider Online Services.
Please provide the information requested in the form on the left so we can issue a User ID and Password. A Federal Tax Identification Number and a valid provider number (NPI or BCBSMT Legacy Number) must be provided for each practice.
If you have more than one office and share a Business Entity number or NPI number, you only need to register one number for all practices/providers. Otherwise, each practice/provider will need to be registered individually with a new Office Administrator Registration.
Once you are registered, you will have the ability to assign office staff as users and the staff will also be able to access Provider Online Services.
If you experience problems registering you can contact the BCBSMT Online Services Hotline by calling 1.800.447.7828, Extension 2124.