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 All demographic changes for group practices or specific providers must be communicated to Midlands Choice or your contracting entity. The receipt of the updated information is imperative so that claims will reprice accurately.

The following are examples of issues that should be communicated. It is also important to include the effective date of the change.

• Address changes
• Additional service locations
• Providers leaving your practice
• New providers added to your practice
• Any change to the group practice name
• Tax Identification Number (TIN) changes
• Any changes to the billing and/or remit to addresses

Updates may be sent to Midlands Choice via the Demographic Update Form located on the For Healthcare Providers/Credentialing section of MidlandsChoice.com. For assistance, contact the Midlands Choice customer service department at 800-605-8259 Monday through Friday, 8:00 am to 4:30 pm central time.

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