Changes to staff/address/phone
Reporting most changes
To notify Priority Health of changes in your address, staff, tax ID number, or if you are accepting or closing to new patients, follow these steps:
- 60 days or more before the change takes effect, complete and print a Demographic Change form.
Provider Demographic Change Form (206KB PDF) - Fax or mail the form to Priority Health at the address/fax number on the form.
Reporting retirement/termination
At least
90 days prior to your retirement or termination of contract with Priority Health, fax or email us a letter signed by the contract holder notifying us of the change.
