provider enrollment credentialing
BCBS Minnesota (MN) — provider data / demographic changes
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Minnesota
Provider Demographic Change Form
Address, phone, affiliation and office-hours changes via the Provider Demographic Change Form; phone help via provider services. Source: 2025 Provider Policy & Procedure Manual (revised 11/17/25), chapter 1 At Your Service. Availity Essentials is the preferred channel for authorizations and admission notifications.
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