Enroll nurse practitioners in NP SERT without retyping registration and billing details

Nurse practitioners joining the Service Encounter Reporting and Tracking (SERT) initiative through IHP programs repeat their legal name, College of Nurses registration, IHP billing number, and practice contact information on the authorization form. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Claims submission — Resources for Physicians — ontario.ca
• Form (Central Forms Repository): IHP NP Authorization for Participation in the NP SERT Initiative — 014-4751-84

What this form is about

Form 014-4751-84 is the Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) Initiative, required when NPs bill through IHP using SERT reporting.

Before you start: what to gather

• NP full legal name and practice address.
• College of Nurses registration and IHP billing number.
• Authorized contact phone and email.
• SERT program details — confirm enrollment steps on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your name, registration, and IHP billing details in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.