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Supporting Documentation for Ancillary Provider Demographic Updates

Please include the information/documentation noted along with your request for us to make the following types of changes/updates to your Ancillary Provider demographic information.

Horizon Care@Home providers (Durable Medical Equipment including Medical Foods [Enteral] and Diabetic and Other Medical Supplies); Specialty Pharmacy, Orthotics and Prosthetics and Home Infusion Therapy Services, including hemophilia) should contact CareCentrix at 1-855-243-3324 to initiate any changes/updates to demographic information.