Please inform us of any incorrect information in our provider directories, by either completing the form below and clicking submit, contacting us by phone at 800-962-1133, option 1 or you can email us at

(For HIPAA reasons, please do not use email to send personal medical information.)

Please tell us where you found the error

Name of the directory (ex. PCP, Specialty, Provider by Name or by City, Urgent Care, or Imaging):

Please tell us about the incorrect information.

Provider, hospital or facility name:

Describe the incorrect information:

Please provide your contact information in case we have questions about your request. (optional)

Full Name: