BEACON EMR HIPAA Disclaimer Site Map Social Media
BayCare Health System
Community Benefit Financial Assistance Policy Quality Report Card Health Library News Dr.BayCare Find Us
Services Hospitals Find A Doctor Classes & Events About Us Careers Contact Us Get E-Newsletter
 Back  Back


May We Help You?
 

Call 1-877-692-2922
Monday-Friday, 8am to 5pm

Persons with hearing and speech disabilities can reach the above number through TDD and other specialized equipment by calling the Florida Relay Service at 711.

Contact Us
Send 
e-mail
Search jobs


Decrease (-) Restore Default Increase (+) Font Size
Print    Email

BayCare Contact Center - Physician Insurance Update

Physician Insurance Update
Thank you for participating in our Physician Referral Service and updating your information.

In order to be on the Physician Referral Service you must fulfill the following requirements:

  • Be in an Active status as defined by Medical Affairs at one of our hospitals.
  • Have appointment availability to see patients in two weeks or less.
  • Provide updated insurance information every six months.

 

 

 

 

 


This form can be used to update your insurance information at anytime during the year.
- Please select the Health Insurance Programs your practice currently accepts.

* Indicates required information

Please provide the following information to help us best serve you.

First Name *
Middle Initial
Last Name *
Email
Organization
Department
Street
City
State
Zip

1.
A - Please select all the Insurance Programs that are accepted by your practice.
2.
B - Please select all the Insurance Programs that are accepted by your practice.
3.
C - Please select all the Insurance Programs that are accepted by your practice.
4.
D - Please select all the Insurance Programs that are accepted by your practice.
5.
F - Please select all the Insurance Programs that are accepted by your practice.
6.
G - Please select all the Insurance Programs that are accepted by your practice.
7.
H - Please select all the Insurance Programs that are accepted by your practice.
8.
M - Please select all the Insurance Programs that are accepted by your practice.
9.
N - Please select all the Insurance Programs that are accepted by your practice.
10.
P - Please select all the Insurance Programs that are accepted by your practice.
11.
S - Please select all the Insurance Programs that are accepted by your practice.
12.
T - Please select all the Insurance Programs that are accepted by your practice.
13.
U - Please select all the Insurance Programs that are accepted by your practice.
14.
W - Please select all the Insurance Programs that are accepted by your practice.
15.
Please add any additional Insurance Programs that your practice accepts and are not listed above.

Authentication *
If the challenge words are too difficult to read, click here to refresh.
 

Serving The Tampa Bay Area © Copyright 2014 BayCare Health System