2019 Blue Advantage® Primary Care Incentive Program Timely Topics RegistrationThursday November 15, 20181:00 p.m. - 2:00 p.m. CST Question Title * 1. Name: OK Question Title * 2. Practice Name: OK Question Title * 3. Tax ID: OK Question Title * 4. Payee NPI: OK Question Title * 5. Email: OK Question Title * 6. Office Phone Number: OK Question Title * 7. How many associates will be viewing the Timely Topics with you? Just me 2-3 associates 4-5 associates 6-7 associates Other (please specify) OK Question Title * 8. Specialty: Primary Care Pediatrics OBGYN Dental Hospital Other (please specify) OK DONE