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How do I notify Health Plans of changes in my address, phone or Taxpayer Identification Number?

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How do I notify Health Plans of changes in my address, phone or Taxpayer Identification Number?

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We ask that changes be communicated in writing with the effective date of the change. These can be sent by mail or FAX to the attention of Provider Relations. With regards to address changes, please be specific if your mailing and or billing address is different from your physical address. Be aware that we cannot change a taxpayer Identification Number without an updated IRS W-9 form. If you dont have one available, they can be downloaded at http://www.starbuilders.org/blulotus/w9/w9form.html or the Provider Relations staff will be happy to send you one by fax or mail.

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