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Provider Demographic Changes

It is important for Lighthouse Health Plan to keep its provider network information up-to-date. Up-to-date provider information allows Lighthouse Health Plan to accurately generate provider directories, process claims and communicate with its network of providers.

Providers must notify Lighthouse Health Plan  in writing at least 60 days in advance when possible of changes, such as:

• Change in practice ownership or Federal TAX ID number
• Practice name change
• A change in practice address, phone or fax numbers
• Change in practice office hours
• New office site location
• Primary Care Providers (PCP) only: If your practice is open or closed to new patients

The provider data change form can be found here. (coming soon!)

Send changes via:

Email:  providerrelations@lighthousehealthplan.com

Fax:1-888-768-7026

Mail: Lighthouse Health Plan

        700 E Gregory Street

        Pensacola FL 32502

 

For additional assistance, contact provider services at  1-844-243-5181