Update your information

Blue Cross Blue Shield of Michigan providers

Please submit your changes on your facility's letterhead via fax or mail. Please also describe your changes and include all of the following:

• Signature of an authorized representative
• Printed name and title of authorized representative
• Name of facility
• Facility code
• NPI
• Federal tax ID number
• Effective date of the change
• Contact person's name, phone number and email address

For the fastest processing, please be sure to include everything noted above.

Send your changes to: