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Provider Maintenance Form. The Provider Maintenance Form (PMF) is to be used by California physicians, practitioners, professionals and ancillary providers to request changes to their practice profiles with Anthem BlueCross.
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
Blue Cross and Blue Shield of Louisiana, 5525 Reitz Ave, Baton Rouge, LA, Health insurance carriers - MapQuest.
A subsidiary of Blue Cross and Blue Shield of Louisiana and an independent licensee of the Blue Cross and Blue Shield Association.
A written request to cancel the policy must be submitted to Blue Cross and Blue Shield of Louisiana. The request must be a statement that includes: Policy Number/Member ID. Members Name.
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People also ask

To update your address, you must call both your local county social services office and Blue Shield Promise Medi-Cal Member Services. Los Angeles County Department of Public Social Services: (800) 605-2556 [TTY: (800) 660-4026], 7:30 a.m. to 5:30 p.m., Monday through Friday.
Call the number on the back of your ID card. Note: The member must currently live in Louisiana and is moving within Louisiana. If the member lives in another state or is moving out of state, the member must ask the group to change the address. Thank you for visiting the BCBSLA Help Center!

change of provider form illinois