To notify us of changes in your name, address, staff, tax ID number, or if you're opening or closing to new patients, you must notify us 60 days ahead of the change.

The name and information you provide us must be up-to-date. For example, the name you provide us for your practice must match the name you use when you answer patient phone calls.

When you submit your practice name and other details—like your location—during the enrollment process, we use this information in our Find a Doctor tool. This tool helps our members—and prospective patients for you—find the care they need. The Centers for Medicare and Medicaid Services (CMS) requires that this information is up-to-date.

For example, if you answer the phone as “ABC Family Medicine” your name in Find a Doctor should be “ABC Family Medicine.”

Need to update the name of your practice?

To notify us of a name change, follow these steps 60 days or more before the change takes effect:

1. Log in to your prism account
2. Click on Enrollments & Changes
3. Select either Change Individual Provider or Change Provider Organization
4. Follow the directions as indicated. For individual requests, submit a Provider Change Form. For multiple requests, submit a Provider Change Template.

The form must contain:

• What's changing
• The effective date of the change
• Entity or tax ID number (EIN or TIN) W-9, as applicable
• NPI number and taxonomy designation (specialty type) that you'll be using for billing
• If your request is to change the group information for a provider group, include the Type 1 NPIs of the impacted practitioners

Check the status of your request

Once you submit your request, our team will receive an inquiry. You can check the status of your request and view comments from our team any time in prism by clicking on Enrollments & Changes and selecting the Inquiry ID. When you request is completed, you'll receive a comment from our team. Any time our team posts a comment, you'll receive an email notification.

Reporting retirement/termination

At least 90 days prior to your retirement or termination of contract with Priority Health, notify us of the change. Learn how.

You may be removed from our directory if your data isn't up to date

To keep our Find a Doctor tool accurate and to meet our requirements as a health plan, we may remove providers who do not maintain their information with us. This means you may be removed from Find a Doctor if your practice name doesn’t match the name you answer your phone with or if your other data, like locations or hours of operation, are not accurate.