Get Check Tracer. Use To Notify Bcbsne Of Your Npi Number(s). This Form May Be Used For Your Individual

Filling out the Check Tracer form is essential for users notifying BCBSNE about their NPI numbers, especially when dealing with uncashed checks. This guide provides clear, step-by-step instructions to assist you in completing the form accurately.

Follow the steps to complete the Check Tracer form.

1. Press the ‘Get Form’ button to access the Check Tracer form and open it for editing.
2. Provide the date when you are filling out the form in the 'DATE' section. This helps in tracking your request.
3. Fill in the 'DATE ISSUED' field with the date on which the original check was issued. This information is crucial for the processing of your request.
4. Enter the patient's name in the 'PATIENT' section. This identifies the individual associated with the claim.
5. In the 'DATE OF SERVICE' field, input the date when the service was rendered. This supports the claim validation process.
6. Specify the amount of the original check in the 'AMOUNT' section. Ensure that this matches the information available to you.
7. List the ‘CLAIM NUMBER’ related to the check in question. This is vital for linking your request to the relevant records.
8. Fill out the ‘CHECK NUMBER’ provided on the original check, which helps in uniquely identifying the transaction.
9. Input your ‘I.D. NUMBER’ if applicable. This often relates to your policy or account number with BCBSNE.
10. Choose one of the two statements provided regarding the status of the check: either that you found it and will return it, or that it was never received. Make sure to read and check the box that applies to your situation.
11. Sign the form to certify that the information provided is accurate. This is a necessary step for the authenticity of your request.
12. Date your signature in the designated section to indicate when you completed the form.
13. Once you have filled out all relevant sections and confirmed the accuracy of your information, save the changes, and download, print, or share the completed form as needed.

Complete the Check Tracer form online today to expedite the resolution of your uncashed check issues.