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Why keep current?
Why keep current?
Connect with members
Help our members find you and connect with you for the care they need.
Get paid faster
Avoid claims payment delays when we have all your correct information on file.
Stay accurate
Ensure current and future members have the right information about your practice.
Updating your provider data info
Updating your provider data info
Need to update your provider information? The best way to do so is to get in touch with us. You can request to make updates to your provider information, including:
New service locations for an existing contracted TIN
Change of name, address, phone number, fax and office hours
Specialty, hospital affiliations, board certifications and other details
Just complete these steps:
1. Email us.
In your email, be sure to:
Include a copy of your W-9, if applicable. If you’re contracted as a group, send a group W-9. Otherwise, just send an individual W-9
Ask us for us a Provider Change Request (PCR) form
2. Complete the PCR form.
After you receive your PCR form, be sure to:
Complete all required fields within the PCR form
- Email the form back to us
After you send us your materials and information, we’ll process the change or contact you for more details.
Need to update your participation in our network?
Refer to your provider manual. Or just email us to learn more.
Questions?
You can contact us. We’re here to help.