Changes of address, telephone number and/or tax identification number, or adding practice locations

Policy Number: GP-X-023

Last Updated: May 24, 2022 

Contracting providers are required to notify BCBSNE of any changes of address, telephone number, NPI or tax identification number. Please refer to Administrative Updates for the appropriate forms and instructions. 

All forms require the affected provider’s signature or the signature of the individual with signing authority for the tax ID.