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  • Primary Care Physician (pcp) Change Request Form

Get Primary Care Physician (pcp) Change Request Form

Primary Care Physician (PCP) Change Request Form FAX the completed form, with a copy of the members Affinity ID Card, to:FAX #: 7185363398 If you are the Legal Guardian or Power of Attorney, please.

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Humana pcp change form Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Call Member Services at 1-855-690-7784 (TTY 711). Fax completed form to 1-866-840-4993. Incomplete forms will not be accepted.

Call 1-833-870-5500 (toll free), Or go online at ncmedicaidplans.gov. You can ask your provider which health plans they work with....But, if you want to change your PCP you may: Call the Medicaid Contact Center at 888-245-0179, or. Call your local DSS Office, or. Go to Find a provider to see who is taking new patients.

Call 2-1-1 or 1-877-541-7905.

To change your PCP, call HPN Member Services at 702-242-7300 or 1-877-545-7378. The HPN provider directory contains information to help narrow your choices.

You can change your primary care provider at any time. To find a provider in your area, use our Find a Doctor search tool. Then, log in to your online account to Change your PCP. You can also call Amerigroup Member Services toll free at 1-800-600-4441 (TTY 711) and we can help you.

Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905.

If you would like to change your plan you can call the Texas Enrollment Broker Helpline at 800-964-2777 or log into the Your Texas Benefits account .

To renew online, log in to your account at YourTexasBenefits.com and select Details for your case. Select Renew Benefits. We'll mail you a renewal packet if you haven't signed up to go paperless.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232