Update Your Info

To help us maintain accurate provider directories and process timely claim reimbursements, all provider/practice information changes must be submitted via Provider DataPoint.

Note: Updates and data changes are no longer accepted by email.

Use Provider DataPoint to:

  • Change information about your practice* (name, phone numbers, address, billing information, NPI. etc.).
  • Add or delete a location to your already contracted practice/group.
  • Change information about a provider (name change, delete or add specialty**, change a panel status, add languages, etc.).
  • Add a provider to your practice/group**.
  • Terminate a provider from your practice/group.
  • Check the status of a previously submitted data change request.

Call 1-800-348-9804 to add a new facility (Hospital, Skilled Nursing Facility, Ambulatory Surgical Center, etc.). A new participation agreement and/or credentialing application may be required.
EmailProviderChanges@MartinsPoint.org
Fax: 1-207-828-7870
Mail: Martin’s Point Health Care, Network Management Department, PO Box 9746, Portland, ME 04104-9882

Changes That Require Notice

Practice, Group and Facility changes that require notice include, but are not limited to:

  • Practice name
  • Tax identification number*
  • Billing National Provider Indicator (NPI)
  • Address
  • Phone number, fax, or e-mail

Provider changes that require notice include, but are not limited to:

  • Provider information (name, degree, gender)
  • Spoken languages
  • Specialty **
  • Panel status (accepting new patients)
  • Hospital privileges
  • Adding a provider – provider joining practice/group**
  • Provider deletions – provider no longer participating with the practice/group

* Changes in tax ID numbers may require an amendment or new participation agreement depending on the reason for the change. Check with your provider representative for specific information.

** If adding a provider or a specialty, in most cases the provider must first be credentialed before rendering treatment to any plan member. Please see the Credentialing page for further detail.

Mental Health Providers: If you are interested in participating in the Martins Point Network or need to make changes to your information, please contact the Behavioral Healthcare Program (BHCP) at 1-800-538-9698. Or, visit their website: https://www.bhcp.org/ProviderServices.aspx to download the BHCP Provider Change Form.

Group Contact Information

In order to better communicate with your group, Martin’s Point is now collecting contact information for the following roles:

Role

Communication Description

Administrative

Authorization and Referral Updates

Billing

Claim and Payment Policy Updates

Clinical

Medical Policy Updates

Contracting

Contract Notices and Updates

Credentialing

Credentialing and Delegation Updates

Executive

Performance and Quality Updates

Financial

Performance Updates

Population Health

Quality Updates

Practice Manager

General Notice Updates

Provider Data

Requests for Demographic Updates

Reporting

Report Delivery

By providing Martin’s Point with this information, your group will receive important updates and changes in a more timely and effective way.