Important: If you do not submit a copy of your NPI confirmation letter or e-mail, we will not consider your record complete and this may impact our ability to process your claims accurately
NPI Frequently Asked Questions
ValueOptions' National Provider Identifier Process (Letter to Providers)
NPI Submission Form - for Providers
NPI Submission Form - for Organizations
Claims Forms -
(These are SAMPLE forms only. Please do not use at this time.)
- UBO4 - required on May 23, 2007
Link to Tips for Completing the UB04 (PDF)
- New CMS 1500 forms - required on June 1, 2007
Link to Tips for Completing the CMS-1500 (PDF)
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