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Update your provider information with us

July 31, 2012

Have you made any changes to your key practice information, such as your mailing address or the name of your practice? If so, please be sure to notify us. We value your help in keeping our data files current. Accurate data files allow us to continue to provide you with important information on billing, claims, changes or additions to policies, and announcements of administrative processes.

Professional providers

Please submit changes to your information using the Provider Change Form. You can also submit changes to your practice information via the NaviNet® web portal, or contact your Network Coordinator to report changes.

Facility and ancillary providers

You are required to submit any changes to your information in writing. This request should be sent directly to the appropriate senior vice president of contracting and the legal department at the addresses below: AmeriHealth New Jersey Attn: Senior Vice President of Contracting 259 Prospect Plains Road, Building M Cranbury, NJ 08512 AmeriHealth Attn: Senior Vice President of Contracting 1901 Market Street, 35th Floor Philadelphia, PA 19103 AmeriHealth Attn: Legal Department 1901 Market Street, 36th Floor Philadelphia, PA 19103 Note: Thirty days' advance notice is required for processing.

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