Provider Maintenance

Up-to-date contact information is critical to process your claims. In addition, it ensures our directories are up-to-date and reduces unnecessary calls to your practice. This information is also reportable to Medicaid and Medicare.

Update Your Information

Providers should continue to submit provider adds, demographic or status changes and terminations via the HAP CareSource™ Provider Change Form.

Once complete, email the form to with the subject line: Provider Change Form. In the body of the email, be sure to include:

  • Type 1 NPI
  • Type 2 NPI
  • Tax ID

Please be sure your office address, phone, fax, etc. are up to date in the National Plan & Provider Enumeration System or NPPES. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters.

Please contact our Provider Services team at 1-833-230-2102 if you have any questions.