Update Provider Information

Q:  What is this page for?

A:  Use the Update Provider Information page to make changes to any of your existing provider information.  You will be directed to this page after clicking on the Update Provider Information link.

Questions and Answers

Q: What does the Exit button do?

A: Click the Exit button to return to the Provider Portal Home page.

Q: What does the Save and Continue button do?

A: Click the Save and Continue button to save your answers and move to the next page.

You can report a change for the following information by selecting the associated checkbox(es):

• Report a change in Name, Phone, Fax, or Email

• Report a change in Address

• Report a change in Service or Activity

• Report a change in Security Role

Q: What does the Continue Previous button do?

A: Click the Continue Previous button to complete a previous update you have not submitted.

Q: How do I leave this page?

A: To leave the page, click the Home hyperlink to return to the Provider Portal Home page.

 Release 7.2.2 | Browser Compatibility