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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 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 Senior Vice President of Contracting and the Legal Department
at the addresses below:
Independence Blue Cross
Attn: Senior Vice President, Provider Networks and Value-Based Solutions
1901 Market Street, 27th Floor
Philadelphia, PA 19103
Independence Blue Cross
Attn: Legal Department
1901 Market Street, 43rd Floor
Philadelphia, PA 19103
Thirty days' advance notice is required for processing.
Note: This information does not apply to providers contracted with
Magellan Healthcare, Inc., an independent
company. Please contact your Magellan Network Coordinator, if you have any
questions.
Magellan Healthcare, Inc., an independent company,
manages mental health and substance abuse benefits for most Independence Blue
Cross members.
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