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 senior vice president of contracting and the legal department at the addresses below: Independence Blue Cross Attn: Senior Vice President, Contracting and Provider Networks 1901 Market Street, 29th Floor Philadelphia, PA 19103 Independence Blue Cross Attn: Legal Department 1901 Market Street, 36th Floor Philadelphia, PA 19103 Note: Thirty days' advance notice is required for processing.

NaviNet^® is a registered trademark of NaviNet, Inc., an independent company.