For Providers

Update Provider Information

Provider Portal

My Health Connection

PHN Association

Search Tools

Physician Search
Prescription Search
Hospital Search
View All Search Tools

Questions about our plans?

Call toll-free at (800) 978-9765 to speak with a plan representative,
24 hours a day, seven days a week. TTY users may call 711.

Peoples Health plan members click here for Member Services contact information.

Compliment or complaint?

Call toll-free at (800) 222-8600 to speak with a Member Services representative,
8 a.m. to 8 p.m., seven days a week. TTY users may call 711. If you contact us on a weekend or holiday between February 15 and October 14, you may leave a message and we will return your call within one business day.

To file a complaint with Medicare click here.

	Submitted By:
	Department:
	Group Name:
	Physician's Name(s):
	Please choose the physician team(s) your physician is associated with for this change request.
	PHYSICIAN TEAM(S)
	Capital Physicians Team	Specialty(s):
	HealthPrime Physicians Team	Specialty(s):
	Memorial Physicians Team	Specialty(s):
	Northlake Physicians Team	Specialty(s):
	NorthShore Physicians Team	Specialty(s):
	Pontchartrain Physicians Team	Specialty(s):
	River Parishes Physicians Team	Specialty(s):
	South Louisiana Physicians Team	Specialty(s):
	St. Charles Physicians Team	Specialty(s):
	Tulane-Lakeside Physicians Team	Specialty(s):
	University Physicians Team	Specialty(s):
	Please choose the appropriate change request category.
	Office(s) Address Change
	Tax ID Number Change
	Correspondence Address.
	Correspondence Fax Number Change
	Billing Address Change
	Telephone Number Change
	Referral Fax Number Change
	Additional Office Location
	Other
	Other:
	Effective Date of Change
	Old Tax ID Number
	New Tax ID Number
	(W-9 Form must be mailed or faxed in order to change Tax ID)
	Address:
	Suite Number:
	City:
	State:
	Zip Code:
	Phone Number:
	Correspondence Fax Number:
	Referral Fax Number:
	Contact Person and Phone Number:

For Providers

Update Provider Information

Welcome

Health Plan Products

Plan Documents and Forms

Provider Network

PHN Association

Update Provider Information

Frequently Asked Questions

Search Tools

Update Provider Information

Update Provider Information

Questions about our plans?

Compliment or complaint?