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