Update Your Information

Practitioner Information Updates & Changes

To better serve our members, the Centers for Medicare & Medicaid Services (CMS) requires health insurance plans to maintain an accurate roster of participating providers. Please notify CDPHP immediately if any of your information changes.

Changes to communicate:

  • Practice address
  • Correspondence address
  • Business relationship changes
  • Phone number
  • Office hours
  • Network status
  • Practice scope or member panel changes

To update your information, complete the Practitioner Information Change Request Form and either mail it to CDPHP or fax it to (518) 641-3209. Thank you for helping us ensure that our records are current.

Update your information now