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If you’re unable to use availity, use our demographic change form. For best results use the. Demographic change form user guide version 1.0 tx 10/01/2020 access the demographic changeform. This document will explain the appropriate means to submit a demographic change request to blue cross and blue shield of north carolina. Learn how to verify and.
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On the providers tab, select the network participation tab and then select update your information from the list of options. Demographic change form user guide version 1.0 tx 10/01/2020 access the demographic changeform. Get the blue cross nc forms and documents for providers. For best results use the.
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Use the demographic change form to update your legal name, provider hospital privileges, directory information and more. Learn how to verify and. Complete this form when updating the billing, practice, and contractual notice demographic information for a group or. Find our commercial, medicare and dental online reference manuals for providers.