61 Search results for "provider enrollment"

1. Paper Applications and Change Requests No Longer Accepted

   • Jul 24, 2013
   • Category: Provider Announcements 2013-2014

   ... paper are no longer being accepted or processed. Provider enrollment, recredentialing, and change r...
   Provider Enrollment page in NCTracks Provider Portal
   

2. NC DHHS Provider Administrative Participation Agreement

   • Jul 1, 2013
   • Category: Terms and Conditions

   ... nistrative Participation Agreement as part of the Provider Enrollment Online Application.
   

3. Electronic Funds Transfer (EFT) Attestation

   • Jul 1, 2013
   • Category: Terms and Conditions

   ... ronically sign the EFT Attestation as part of the Provider Enrollment Online Application.
   

4. W-9 Attestation for Individuals

   • Jul 1, 2013
   • Category: Terms and Conditions

   ... ronically sign the W-9 Attestation as part of the Provider Enrollment Online Application.
   

5. W-9 Attestation for Organizations

   • Jul 1, 2013
   • Category: Terms and Conditions

   ... ronically sign the W-9 Attestation as part of the Provider Enrollment Online Application.
   

6. False Claims Act Attestation

   • Jul 1, 2013
   • Category: Terms and Conditions

   ... n the False Claims Act Attestation as part of the Provider Enrollment Online Application.
   

7. Behavioral Health Provider Enrollment FAQs

   • Category: Frequently Asked Questions

   ... sked questions (FAQs) regarding behavioral health provider enrollment. Updated May 8, 2025
   Behavioral Health Provider Enrollment FAQs
   

8. Getting Started With Enrollment

   • Category: Provider Enrollment

   The Provider Enrollment Online Application is a user-friendly web application that gathers all the i...
   Start your own Provider Enrollment Online Application
   ... you are completing an Individual or Organization Provider Enrollment application, you will be given...
   

9. General Provider Enrollment FAQs

   • Category: Frequently Asked Questions

   ... s answers to frequently asked questions regarding provider enrollment. Updated Jan. 29, 2025
   General Provider Enrollment FAQs
   

10. Supporting Information

    • Category: Provider Enrollment

    ... wing is supporting information related to NC DHHS provider enrollment.