Have you made any changes to your key provider information? It is important that you notify us of any changes to the following:

• your mailing address
• your phone number
• name of your practice
• your office hours
• your acceptance of new patients
• your plan to dissolve your practice

We value your help in keeping our data files current. Accurate data files allow us to provide you with important information on billing, claims, changes or additions to policies, and announcements of administrative processes.

Professional providers

Please contact your Network Coordinator or Provider Partnership Associate and notify them of any changes to your information.

Facility and ancillary providers

Per your contract, you are required to submit any changes to your information in writing. This request should be sent directly to the Legal Department and the appropriate Provider Network contact at the addresses below:

Thirty days? advance written notice is required for processing.