Who can register to use this application?

Group administrators with responsibility for maintaining data of professional groups of health care practitioners and allied providers are eligible to register for access to the Provider Enrollment and Change Self-Service application. These registered group administrators and their designated staff can maintain information only for their group providers enrolled with the Blues who use Type 2 (group) NPIs.

Professional groups include:

  • Physicians
  • Mid-level practitioners
  • Behavioral health practitioners
  • Vision and hearing practitioners

Allied provider groups include:

  • Ambulance
  • Clinical independent laboratories
  • Durable medical equipment suppliers
  • Prosthetic and orthotic suppliers
  • Vaccine pharmacies

Only practitioners with Type 2 (group) NPIs who are responsible for maintaining group information with the Blues should register for the self-service application. Independent physicians or practitioners who are solo practitioners (not part of a group) and facility providers cannot use the self-service application at this time.