NPRI Forms

NPRI Forms

• 2007-2008 NPRI Incentive Application

You can fill out your application form online and print the form once complete. Please use the TAB key to navigate through the fields on the form.  If you need help filling out the form online, click the button below.

To access this form, you will need Adobe Reader 5.0 or higher.  This form works best when using Adobe Reader 7.0.  If you need to download Adobe reader, or don’t know what version you have, go to our free software page.

NPRI-CME Online Claims Submission

You can now submit your NPRI-CME Claims online. Please make sure to have all course or product details ready as you will require them to complete the claims process. An online tutorial is available to guide you through the claim submission process. Please use the links below to access the CME Claim Form and the available tutorial.

• CME Online Claim Form
• CME Online Claim Submission Tutorial

Tracking your NPRI-CME Claims

In addition to submitting claims, you can track the status of your online claim using the link below. At the end of your NRPI-CME Claim Submission you will be provided with a Confirmation Number. Please retain this number as you will be asked to enter the Confirmation Number to view the current status.

• CME Claim Status Review

Downloadable NPRI-CME Forms

• NPRI-CME Course Claim Form – print version
• NPRI-CME Product Claim form – print version
• 2007-2008 CME Program Guidelines
• Preapproval Form

Print out the required forms and complete them when you are reading to submit your NPRI-CME claims for 2007.  To print the forms you need Adobe Reader 5.0 or higher.  If you need to download Adobe Reader or don’t know what version you have, go to our Free Software page.

Physicians who qualify for the CME Program as Level 3 – 7, should use the Claim forms found on the CME forms page.

For information on the CME Program and the recent changes to eligibility levels, please click here.