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  • De Coventry Provider Demographic Change Form 2010

Get De Coventry Provider Demographic Change Form 2010-2025

prior to the change. If you have many providers in your practice impacted by the change in information, you may attach a current practice roster to this form rather than completing a form for each provider. Effective Date of Change: ___________________________________________________________________ Practice Name and Current Address:___________________________________________________________ ________________________________________________________________________________________ Current Tax ID#.

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Coventry Health Care, Inc. - SEC.gov
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Changing your doctor on Anthem Blue Cross can be done quickly through your member account or by calling customer service. If you prefer a more detailed approach, consider filling out the DE Coventry Provider Demographic Change Form. This form helps formalize the change, ensuring a smooth transition to your new provider.

To contact Anthem provider relations, you can call their dedicated support line or access their website for additional contact methods. Be prepared with your provider information when you reach out. Anthem's team is equipped to assist you promptly and address any inquiries you may have.

To submit a W9 to Anthem, you can complete the form and send it directly via their online portal or through traditional mail. Make sure to include all necessary information, as this ensures your details are updated in their system. If needed, you can find assistance in filling out the W9 in the resources provided on the Anthem website.

Changing your provider address with Anthem is straightforward. Fill out the DE Coventry Provider Demographic Change Form to specify your new address. Once completed, send it to Anthem through their designated submission methods for immediate processing.

To update your provider address with Anthem, you will need to complete the DE Coventry Provider Demographic Change Form. This form allows you to provide your new address details securely. After filling out the form, submit it to Anthem as directed, ensuring that you keep a copy for your records.

Coventry - 1-800-288-3343 or Fax 1-866-602-1249.

In May 2013, the company was acquired by Aetna for $5.7 billion.

We represented Coventry Health Care, Inc. in the sale of its fee-based Medicaid services subsidiary, First Health Services Corporation, to Magellan Health Services, Inc. (NASDAQ: MGLN) for $110 million.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health and Life Insurance Company and their affiliates (Aetna).

Like many insurance companies, Coventry Health and Life Insurance Company offers the following types of health plans: PPO and EPO.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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