Get the up-to-date EDI 8292P JH JL Novitasphere Portal Enrollment Form This form is for providers in the JH JL areas to 2024 now

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Call Our Novitasphere Portal help desk at 1-855-880-8424 for: Novitasphere access issues.
Type the contact persons name that has knowledge and authority to answer questions regarding your enrollment. Type the contact persons telephone number (including area code). Type the fax number (including area code) for the provider. Type the practice mailing address, including suite/building numbers/levels.
ENROLLMENT PACKET. This enrollment packet consists of an EDI Provider Application/Agreement Form, an Option Selection Form, an ERA Enrollment Form, Title 22 and Forms Reorder Request.
Novitasphere enrollment steps for provider offices and facilities Step 1 - Complete the Novitasphere Portal Enrollment form. Step 2 - Provider office approver access request. Step 3 - Provider office back-up approver access request. Step 4 - All other staff (end user) access request.
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