See and enjoy our running list of organized forms for quick access to change provider information with major insurance brands.

BCBS NC 

Address change form: https://www.bluecrossnc.com/document/demographic-form

EFT sign up:  https://www.bluecrossnc.com/document/eft-request-form

UHC

Address change: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/link/Demographic-Change-Request-Form.pdf

EFT:  https://www.uhcprovider.com/en/claims-payments-billing/Electronic-Payment-Solutions.html

Cigna

Address Change Form: https://www.cigna.com/hcpemails/bh-directory/provider-update-form.pdf

EFT  https://www.cigna.com/health-care-providers/coverage-and-claims/claim-payments-eft-era/

Aetna

Address Change Form:  https://www.aetna.com/dsepublicContent/assets/html/content.html?resource=provider/data-correction

EFT Enrollment:   https://www.aetna.com/health-care-professionals/claims-payment-reimbursement/era-eft-electronic-eobs.html

Terminate Contract Form:  https://www.aetna.com/health-care-professionals/forms/provider-termination-request-form.html

Tricare West

Address Change Form: https://www.tricare-west.com/content/dam/hnfs/tw/prov/resources/pdf/claims/pif.pdf

EFT Enrollment:  https://www.tricare-west.com/content/hnfs/home/tw/prov/claims/eft_era.html
 
TriCare East

Address Change Form:  https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=4071535

EFT Enrollment; https://edi.wpsic.com/edir/home