For changes related to | You should |
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Complete the Contract Update Form for your provider type. |
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Submit a Standardized Provider Information Change Form. The Change Form is managed by the Mass Collaborative. |
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Update your CAQH Provider Data Portal (formerly ProView) record or submit a Standardized Provider Information Change Form. |
If you | Then |
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Have professional privileges | No new professional privileging application is required. |
Have technical privileges but are moving, adding a site, or joining a new practice | You must submit a Limited Technical Privileging Application for your new location. |
Are not currently approved for either professional or technical privileging | Go to the Privileging page and download the applicable privileging application. |
For more information about privileging, visit our Privileging page.