Have you made any changes to your key practice information, such as your
mailing address or the name of your practice? If so, please be sure to notify
us.
We value your help in keeping our data files current. Accurate data files allow
us to continue to provide you with important information on billing, claims,
changes or additions to policies, and announcements of administrative processes.
Professional providers
Please submit changes to your information using the
Provider Change Form. You can also
submit changes to your practice information via the NaviNet
® web
portal, or contact your Network Coordinator to report changes.
Facility and ancillary providers
You are required to submit any changes to your information in writing. This
request should be sent directly to the senior vice president of contracting and
the legal department at the addresses below:
Independence Blue Cross
Attn: Senior Vice President, Contracting and Provider Networks
1901 Market Street, 29th Floor
Philadelphia, PA 19103
Independence Blue Cross
Attn: Legal Department
1901 Market Street, 36th Floor
Philadelphia, PA 19103
Note: Thirty days' advance notice is required for processing.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.