Update your information
Here's how to let us know your name, address or other contact information has changed:
- Physicians and other Individual Allied Health Practitioners located in Michigan must update demographic information online through the CAQH Universal Credentialing Datasource®. Visit the CAQH website for more information. Use the Enrollment and Change process to submit changes for network affiliations, participation, additional practice locations and other changes not available through CAQH.
- Group Practices, Non-Hospital Facilities and other Non-Individual Health Care Providers located in Michigan: To change information about your group practice or business, use the Enrollment and Change process to submit the proper form.
- Pharmacies: To change information on your record, please contact the Pharmacy Services Clinical Help Desk:
1-800-437-3803, option 1
Fax or mail the completed form to Provider Enrollment and Data Management:
Provider Enrollment and Data Management
Blue Cross Blue Shield of Michigan
P.O. Box 217
Southfield, MI 48034