We provide a complete toolkit of resources for your use – from provider change forms and electronic data interchange forms to claims submissions.
The Provider Resource Center provides access to some forms for accessing electronically.
To make changes to an address, NPI, tax identification number, or a group name, complete the following:
To make a chance to a provider name, complete the following:
Mental health and substance abuse clinicians need to complete the Area of Expertise form to identify their area of expertise for marketing in the Blue national directories.
Connect with our team - we are here to help!