Let us know when your information changes so that we may update our system. This form is intended for use by established contracted groups who need to notify Samaritan Health Plans of changes to their group.
If you are interested in contracting with us, let us know you’d like to join our network.
Additional steps you should take:
Note: All provider and demographic changes must be reported to us within 30 days.
Select “Leave Site” to go to the external website.