Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Forms and Documents Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Blue Cross NC Home Providers Network participation Tax ID and legal name changes Providers Tax ID and legal name changes

Guidelines for submitting tax ID and legal name change requests to Blue Cross and Blue Shield of North Carolina (Blue Cross NC).
How to submit change requests

These instructions are applicable to all submittals.

  • Email requests to providerupdates@bcbsnc.com. You can also fax your requests to 919-765-4349. Processing time can vary between requests sent to Commercial or Blue Medicare. Average processing time is between 10 to 30 business days.
  • Include complete provider details such as name, NPI, IRS number, locations and Medicare number. You must provide the effective date.

Incomplete requests will not be accepted for processing. Requests that are incomplete or are missing information will be returned to sender. You will need to resubmit the request with complete information to be processed.

If you have questions or need assistance, call 800-777-1643, and selection option six.
Tax ID change with no legal name change
You must submit requests 30 days prior to the termination date and include:
  • Completed demographic form or request on letterhead
  • Updated W9
  • A new EFT form for participating groups
Legal name change
You must submit requests 60 days prior to the effective date and include:
  • Completed Provider Demographic Change Form (PDF) or request on letterhead
  • Updated W9
  • For contracted participating groups
    • A new contract or contract amendment will be required
    • The legal name change must be on file with the IRS for validation
Tax ID and legal name changing due to a merger or acquisition
You must submit requests 60 days prior to the effective date and include:
  • Completed group enrollment application
  • Updated W9
  • Termination letter or bill of sale from previous owner
  • Individual enrollment applications for all practitioners who are not currently active in Blue Cross NC
  • Current medical license for practitioners who are not currently active in Blue Cross NC
  • A new EFT form for participating groups
  • For contracted participating groups
    • Current contract must support specialty of new practice
    • All practitioners must be credentialed (if applicable) in order to be enrolled
    • It may be required that a new contract or contract amendment must be signed prior to making the above changes. This may impact the effective date requested.
About Us Newsroom Blog Member Forms COVID-19 Transparency in Coverage Find Care Rights & Responsibilities Policies & Best Practices Privacy Policy Website User Agreement Fraud & Abuse Technical Information Contact Us Locations Careers

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.

Information in other languages: Español   中文   Tiếng Việt   한국어   Français   العَرَبِيَّة   Hmoob   ру́сский   Tagalog   ગુજરાતી   ភាសាខ្មែរ   Deutsch   हिन्दी   ລາວ   日本語

© 2025 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.