Please report all demographic changes to HCPC immediately to ensure proper direction of members and accurate claims payment. Examples of changes that should be reported are listed below.

• New office or facility address
• New telephone or fax number
• Additional office or facility address
• New billing address
• New group or facility name
• New tax identification number (submit copy of W-9 form)
• License number
• Change in hospital or surgicenter affiliation
• Provider left practice (please include date)
• New provider in practice (please see membership application)

Please mail or fax this information to:

Health Care Payers Coalition of New Jersey

Provider Relations Department

Raritan Plaza II

P.O. Box 6858

Edison, NJ 08818-6858

Fax: (732) 417-9720