Frequently Asked Questions by Providers

Links to most forms you will need are on the Forms and Documents page in the Education and Reference section of our website.

Find requirements for network participation step-by-step instructions by going to the Network Participation section of our website and clicking on How to Join the Provider Networks. Learn about:

• The application and credentialing process
• Updating your provider network information
• Requesting a provider record
• General information on products and
• CAQH FAQs
• How to contact us
• Reimbursement guidelines

Complete the Update Your Content Information form.

Go to ICD-10 in the Standards and Requirements section where you will find important timelines and requirements, frequently asked questions, webinar schedules, contact information and more

Clear Claim Connection (C3) is a free online reference tool you can use to help decide how coding combinations on a particular claim may be evaluated during the adjudication process.

Visit our C3 web page for more information about the tool and how to attend a webinar.

BCBSMT contracted providers who are registered with Availity™ may complete the EFT enrollment process online via the secure Availity Web Portal. Please note that you must be a registered Availity user to complete the online enrollment process. There is no cost to register or use the Availity Web Portal. Visit availity.com for more information.

A paper enrollment process is also available. Look for the downloadable EFT Authorization Agreement in the Education and Reference Center/Forms section of our Provider website at bcbsnm.com/provider.

Our Contact Us page on the Provider website has a list of key contacts to get you to the right place.

 1. Apply online 

2. Apply by mail. Call or email the NPI Enumerator to request an application form. Send the completed application to:

NPI Enumerator 
P.O. 6059 
Fargo, ND 58108-6059

3. Apply by third party. With your permission, an organization may send in your application in an electronic file. This could mean that a professional association or perhaps a health care provider who is your employer could send an electronic file having your information and the information of other health care providers.

Type 1 – Individual

Type 2 – Organizational 

Contact Information

For questions about processing an NPI application, call:

1-800-465-3203
(TTY: 1-800-692-2326)

Always include the following information on your claims:

• Member's three-letter alpha prefix and the identification number
• Policy group number
• Onset date
• Physician's and/or supplier's name, address, telephone number
• Physician's and/or supplier's NPI