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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


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