Participating practitioners, groups, and facilities can update essential contact details to ensure compliance and accurate directory listings.
Be sure to keep these requirements in mind. We cannot process incomplete submissions.
You will need:
- Practitioner name(s) and NPI(s)
- Tax identification number (TIN)
- Practice location(s)
- Medicare number if applicable
Send requests using your official practice email address.
We can't accept requests sent from personal accounts.
Requests are processed in 10-30 business days.
Please submit name and location change requests ahead of time to avoid delays.
Submit requests to update legal name changes to ensure accurate records and compliance.
- Create a formal request on official letterhead from your practice.
- Email request letter and a copy of medical license to the Provider Updates team at ProviderUpdates@bcbsnc.com.
- Complete a provider demographic change form (PDF).
- Complete a W-9 (PDF).
- Email the completed change form and W-9 to the Provider Updates team at ProviderUpdates@bcbsnc.com.
Request to add or update a practice location to ensure patients can find your services.
Please complete the demographic change form. Make sure to specify whether the change applies to:
- Physical address
- Billing address
- Contract notice address
If you have a change in your roster, including terminations, please include a list of all practitioners who are part of the location change indicated on the form.
Submit all location change forms at least 30 days before the effective date of the location change to ProviderUpdates@bcbsnc.com.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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