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Provider Updates

Is your organization already in-network, but needs to add a provider, update your provider directory listing, or modify your exiting contract? Please use our Provider Update Form to report any changes to your current provider(s) or organization, including:

  • Federal tax ID change
  • Legal business name change
  • Billing/correspondence contact change
  • Practitioner change
  • Service location change
  • Practice closure

Send your completed form to:

Health Tradition Health Plan
P.O. Box 21171
Eagan, MN 55121
Fax: 608.276.9119