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How to Register for NHPNet Updated April 2014

How to Register for NHPNet

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Page 1: How to Register for NHPNet

How to Register for NHPNet

Updated April 2014

Page 2: How to Register for NHPNet

www.NHPNet.org

How to Register for NHPNet 2 of 12

How to Register for NHPNet

Step 1

1. Access NHPNet via the direct URL: www.NHPNet.org

2. Locate the registration button on the right-side of the page.

3. Click on the registration link to proceed to the User Agreement page

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Step 2

1. Read the terms of the NHPNet User Agreement.

2. Click I Accept This Agreement to proceed.

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Step 3

1. Read the helpful hints and then click OK to proceed.

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Step 4

1. Type your site’s name in the Site Name box. A drop down list will appear

and you can select your appropriate site. You can enter the full name or

part of the name to yield results.

2. Enter your Tax Identification Number in the TIN field

3. Click Verify

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Step 5

Enter a Login ID. We recommend using your email address if possible. Please

review the login criteria below carefully.

Step 6

Enter a password. Please review the password criteria below carefully.

Tips & Hints

Please write down your password and security question answer because this

information is not stored in our systems and cannot be retrieved.

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Step 7

Select a security question from the drop down arrow and answer it. Please review

the security question criteria below carefully.

Tips & Hints

Please write down your password and security question answer because this

information is not stored in our systems and cannot be retrieved.

Step 8

1. Select yes or no in the drop down box if you will be a User Administrator for

this site. Please click the NHPNet User Administrator Application link if you are

going to be a User Administrator.

2. Type in the reasons for site access. Below are a couple sample reasons.

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Step 9

1. Enter Your Demographic Information. The demographic information should

be the user who is filling out the online application. Please do not fill out

this in someone else’s name.

2. Click Submit

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Step 10

If you successfully registered online for NHPNet you will see the confirmation box

below and receive a confirmation email. If you do not see a confirmation box

(see below) or did not receive a confirmation email then you did not successfully

register online and will have to register again.

Tips & Hints

After successfully completing the online registration application please allow

24-48 hours for processing. If you have not been approved after 48 hours

please contact your provider relations representative.

If you are requesting user administrator site access then please make sure

you completed the NHPNet User Administrator Application. Failure to fax in

the form after registering online will delay your approval.

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How to Fill Out a User Administrator Application

1. Please print a NHPNet User Administrator Application

2. The user administrator application needs to be filled out accurately in order

for your NHPNet account to be approved. Please make sure you:

Have a valid signature and title of the approving executive. Unless you

are the owner of the practice you cannot sign for yourself.

Use the group NPI of the practice or physician, not their individual NPI.

3. A user administrator application is required for every group NPI you need

site access to so you might have to fill out multiple forms

Tips & Hints

If you are registering as a user administrator then please fill out the online

registration application prior to faxing in the User Administrator Application.

Failure to complete the online application prior to faxing the User

Administrator Application will delay your approval for NHPNet.

If you registered as a regular user please contact your site administrator to

be approved for NHPNet.

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Example: Completed NHPNet User Administrator Application

Click here to obtain a blank form.

Page 12: How to Register for NHPNet

NHPNet User Administrator Application

Please complete the form electronically to ensure accurate processing.

Date: ______________________________________________________________

Name: _____________________________________________________________

Title: ______________________________________________________________

Phone: ___________________________ Fax: ____________________________

E-mail: _____________________________________________________________

Group Name: _______________________________________________________

Group’s National Provider Identifier (NPI): ________________________________

□ I acknowledge having read the NHPNet’s Terms of Use

Your signature: ______________________________________________________

Name of Approving Executive: __________________________________________

Title: ______________________________________________________________

Signature: __________________________________________________________

□ I acknowledge having read the NHPNet’s Terms of Use and approve of the above referenced individual’s appointment as the User Administrator to manage account access for all employees affiliated with this specific group NPI.

Please fax completed forms to: 617-526-1915

For NHP Use Only:

Approval date: ______________________________________________________

Other User Administrator for this entity: __________________________________