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CREDENTIALED PRACTITIONER CHANGE FORM  
 
  • Change demographic data for credentialed practitioners - Click here for a list of credentialed type practitioners.
  • Please allow 30 business days for your request to be reviewed and completed.
  • For status checks, please contact UCare's Provider Assistance Center at 612-676-3300 or toll free at 1-888-531-1493.
  • For questions with filling out the form, please contact UCare's Credentialing Line at 612-676-3660.
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