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Update Your Practice Demographic Information

It’s important to keep us up to date!

To meet Centers for Medicare & Medicaid Services (CMS) requirements, support claim accuracy and timely reimbursements, and to provide our members with up-to-date information, all care providers contracted with HCP must keep their demographic information up to date.

To submit a demographic change, please fill out this demographic form, and fax completed form to (516) 746-8473.

If you need assistance or have any questions, please contact customer service at 1 (800) 877-7587