Use the Provider Maintenance Form for professional providers to update your information

We continually update our provider directories to ensure that your current practice information is available to our members. At least 30 days prior to making any changes to your practice — including updating your address and/or phone number, adding or deleting a physician from your practice, closing your practice to new patients, etc. — please notify us by completing the Provider Maintenance Form available on the Availity Portal. Thank you for your help and continued efforts in keeping our records up to date.