Name of Manual - Blue Cross and Blue Shield of Minnesota

Company Phone Number Address
Public Programs Member
Services (PMAP and
MinnesotaCare)
Address Changes and
Other Demographic
Information
(651) 662-5545 or
1-800-711-9862
At Your Service
Promptly notify Blue Cross when any of your demographic
information changes, including but not limited to your address,
phone number, hospital affiliation or office hours. Use the
Provider Demographic Change Form, available at
providers.bluecrossmn.com. Enter “provider demographic
change form” in the search window. Blue Cross uses your
demographic information in provider directories, to help members
find you easily, mail important information to you, etc. Call (651)
662-5200 or 1-800-262-0820 for telephonic assistance. FAX
completed forms to (651) 662-6684 or mail them to:
Blue Cross and Blue Shield of Minnesota
PDO, S116
P.O. Box 64560
St. Paul, MN 55164-0560
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (10/24/11) 1-13