Provider Information Submission
It's important to keep your provider information current and we assist you with this task. This request form allows you to send us any updated information about your HFS provider account. The correct provider information allows us to successfully send your claims electronically to HFS, minimize rejections, and avoid file upload failures. Upon your completion of this form, the information is sent to us as a request to update your provider info in our system. Our staff then makes the changes and notifies you when your account is updated. To minimize billing errors, it is strongly advised that you always use the information from your most recent provider information sheet that was given to you by HFS.