We all move... make sure you keep Triwest posted!
Blue Shield Provider Services is now handling the updates of all information pertaining to your provider profile. This information is then given to Triwest Provider Services.
To update the address, you will fill out the attached Individual Provider Change Form.
Please fill out the form and email it to [email protected] and cc [email protected] so we can update your profile with Help Therapy.
If you are changing anything having to do with your TIN or EIN number (including billing address), you should also submit a signed fw9 with the updated billing address.
Here is a link to a blank fw9 if you need it. Link to fw9
Blue Shield Provider directly, please call 800-258-3091
If you need assistance in updating this information, we are happy to help. Please reach out to us directly at [email protected].