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Get Edi Novitasphere Submitter Id Update Request Form. To Provide A Form For Edi Submitters To Be Able
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How to fill out the EDI Novitasphere Submitter ID Update Request Form online
The EDI Novitasphere Submitter ID Update Request Form is essential for ensuring your organization’s information is accurate and up-to-date in the Novitasphere portal. This guide will provide comprehensive instructions on how to effectively complete the form online, making the process straightforward and user-friendly.
Follow the steps to fill out the EDI Novitasphere Submitter ID Update Request Form.
- Press the ‘Get Form’ button to acquire the form and open it for editing.
- Begin by filling in the required fields marked with an asterisk (*). These fields include your Current Legal Business Name and Current Tax ID or Novitasphere Portal Submitter ID.
- Indicate the applicable contracts by checking all that apply from the list provided, including options such as DCMA (Part B) and DC (Part A).
- Fill out the change information section, entering your new Legal Business Name, Mailing Address, City, State, Zip Code, and Tax ID as necessary.
- Provide the names and emails for the Office Approver and Office Back-Up Approver. Ensure that the names are entered clearly and correctly as they are important for verification.
- Add the Contact Person's Telephone Number, ensuring that it is accurate for communication regarding your submission.
- Review the form for accuracy and completeness, ensuring that all required information has been filled out clearly.
- Complete the signature section by signing the form, providing the date, printed name, title, and email address of the Authorized Official.
- Once completed, you may choose to save changes, download the form, print it, or share it as necessary.
Take action now and complete your EDI Novitasphere Submitter ID Update Request Form online.
If your communication is very sensitive, or includes personal information, you may want to contact the EDI Department by phone: JL Customers: 1-877-235-8073, option 3. JH Customers: 1-855-252-8782, option 3. Novitasphere Portal Customers: 1-855-880-8424.
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