Provider Secured Services

Update Your Information with Us:
Hospitals and Facilities

BCBSM

Changes should be submitted on your facility's letterhead via fax or mail. Please describe your changes and include all of the following:

• Signature of an authorized representative
• Printed name and title of authorized representative
• Name of facility
• Facility code
• NPI
• Federal tax ID number
• Effective date of the change
• Contact person's name, phone number, and e-mail address

Contact Provider Contracting to update your information. Be sure you've included everything noted above to ensure fastest processing.

For ownership changes involving a change to the facility's Federal Tax ID, please contact the appropriate representative for instructions.