What transactions still require paper forms?

You can't use the self-service application for some transactions. The enhanced online forms must be used for the following provider types and transactions.

Use enhanced online forms for:

Provider type Transactions
Facility providers
  • All
Professional groups and allied providers
  • Enroll new groups and allied providers
  • Change National Provider Identifier
Individual practitioners
  • Enroll new as solo practitioner (not in group)
  • Change Type 1 NPI
  • Change EIN/Tax ID number or tax name
    Add or remove network participation as solo practitioner (not in group)
  • Change BCN PCP status as solo practitioner (not in group)
  • Add or remove individual practice locations as solo practitioner (not in group)
  • Change remit or mailing address as solo practitioner (not in group)
  • Terminate practitioner as solo practitioner (not in group)
  • All other changes should be submitted using the Council for Affordable Quality Healthcare's Universal Provider Datasource, including changes in:
    • Name
    • Degree
    • Social Security number
    • Primary address
    • Specialty and board certification