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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.
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HIPAA National Provider Identifier (NPI)
The HIPAA National Provider Identifier (NPI) Final Rule offers each physician, health care professional, and institution a unique identifier for all transactions related to the rendition of and payment for health care services.
NPI Fax Submission Form
Centers for Medicare & Medicaid Services (CMS)
National Plan and Provider Enumeration System (NPPES)
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