Thank you for your interest in joining Blue Cross and Blue Shield of North Carolina (Blue Cross NC)’s growing network of physicians, health care professionals and facilities who share our commitment to improving the health and well-being of our members and communities.
The first step is to enroll your provider group!
Important Tips:
To ensure compliance with the Internal Revenue Service (IRS) regulations, we must have your tax identification information to process your application. When submitting this enrollment application, please be sure to include a completed W-9 containing the billing entity information. Enrollment applications without a completed W-9 Form will not be processed.
Steps to send your W-9 Form:
Example: Provider Group W9 | Provider Group Name | NPI Type II
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