Information Change Request
When seeking health care services, our members often rely upon the information in our online Provider Finder®. This is just one of the reasons why it's very important that you inform Blue Cross and Blue Shield of Oklahoma (BCBSOK) whenever any of your practice information changes.
Please provide ALL applicable information to avoid delays. Changes are not immediate upon submission request and may take up to 30 business days to complete.
Note: To request a change(s) to a Roster Group please use the PDF Provider Notification Form . For a digital signature, please open the form using an Internet Explorer browser.
If you need to change existing demographic information, complete the Demographic Change Form to initiate the process. Some of these changes include:
- Legal Name
- NPI/Tax ID
- Office Physical Address/Telephone/Fax/Email/Hours of Operation
- Billing Address/Telephone/Fax/Email
- Credentialing Address/Telephone/Fax/Email
- Administrative/Correspondence Address/Telephone/Fax/Email
- Other Provider Updates
- Remove Provider from Group/Location
- To receive the monthly Blue Review provider newsletter include your email address when filling out the Demographic Change Form
Note: You may specify more than one change within your request when all changes relate to the same billing (Type 2) NPI
For the status of your professional contract application, or if you have questions, or need to make changes to an existing contract, please contact your Provider Network Representative.