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Update Contract Info

Want to modify the demographic or affilation information in your contract?
iCare makes it easy for providers to update this information.

 

iCare makes it easy for providers to update information in their contract.

Main Content

Contracted providers wanting to modify their demographic or affiliation information can request this by filling out the applicable form below. Instructions are included on each form.

Name, Tax ID, Physical or Billing Address Changes
Demographic Change

Adding or removing providers associated with a contracted provider group
Affiliation Change

Leaving iCareHealthPlan.org

By clicking this link, you may be leaving the iCareHealthPlan.org website. Independent Care Health Plan (iCare) only provides these links and pointers for your information and convenience. When you select a link to an outside website, you are leaving the www.iCareHealthPlan.org website.

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