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Online Registration
All Area Webshop 10/14/2008
Provider Front Office
Once Registered Sign On Instructions will
be Forwarded to your email.
*
Session:
Morning
Afternoon
*
Are you a...
BCBSTX Provider
Billing Agency
*
Provider/Billing Agency Name:
*
NPI Number(s)
Billing Agencies must list all numbers
*
Address:
Note: Large groups can submit one registration as long as a they share up to two phone lines during the call
*
City/
*
State/
*
Zip Code
/
/
*
Telephone Number:
/
/
Fax Number:
/
/
*
E-mail Address:
(to receive the URL link and special line number)
*
How do you submit claims?
(choose only one)
Electronic
Paper
*
Indicates a required field
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
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