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Specific Criteria You Should Confirm is Accurate and Up to Date

For Practices:

  • Practice name
  • Type 2 NPI
  • Address (including suite number, floor number or building number)
  • Phone numbers (practice phone numbers should be those numbers that a member would call to schedule an appointment at a particular practice location)
  • Email addresses
  • Languages spoken (other than English)
  • Office hours
  • Billing information/billing company information
  • Affiliated practitioners (practitioners at a particular practice location)

For Practitioners:

  • Name
  • Gender
  • Degree(s)
  • Type 1 NPI
  • Specialty (note that we do not credential practitioners in more than one specialty)
  • Email addresses
  • Board certification(s)
  • Office locations at which you practice
  • Accepting new patients [per practice location(s)]
  • Languages spoken (other than English)
  • Hospital affiliation(s)
  • Practice limitations

Use the Horizon Data Submission Template for Practitioners to make all of the changes listed above.

Use the Provider Data Maintenance Tool to make all of the changes listed above, except:

  • Network terminations
  • TIN changes
  • Practice name changes

If you purchase another practice/entity, send a request to your Network Specialist and include:

  • W-9 form
  • List of practice locations
  • List of affiliated practitioners/NPIs per practice location