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Blue Cross and Blue Shield of Minnesota Individual Practitioner Addition/Termination/Change Form Fax to: (651) 662-6684 or Mail to: BCB SMN PDO, R316 P.O. Box 64560 St. Paul, MN 55164-0560 Please
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BCBSMNINC and affiliates individual practitioner refers to a healthcare provider who is associated with Blue Cross Blue Shield of MN and its affiliated organizations.
Healthcare providers who are part of Blue Cross Blue Shield of MN and its affiliated organizations are required to file bcbsmnincand affiliates individual practitioner.
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The purpose of bcbsmnincand affiliates individual practitioner is to maintain transparency and accuracy in healthcare provider information for Blue Cross Blue Shield of MN and its affiliated organizations.
Information such as provider details, services offered, billing procedures, and contact information must be reported on bcbsmnincand affiliates individual practitioner.
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