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NEW CLAIMS SUBMISSION MAILING ADDRESS
Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. Box 69436, Harrisburg, PA 17106-9436.
Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. Box 69436, Harrisburg, PA 17106-9436.
Update Your Status
The provider change forms below may be used by credentialed providers to report changes. It is important to keep your practice information current to facilitate claims payments and ensure the accuracy of online provider directories. We will notify you in writing when your request is processed. Please allow 7-10 business days for processing.
For non-credentialed providers, please complete the new credentialing paperwork under “Join Our Network.”
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Forms for Credentialed Providers
Add a New Associate
Adding Additional Network to Existing Network
Change of Address or Location
Changes to EIN or TIN
Joining New Practice or Adding a Location
