Report ownership changes
Providers and practices who are going through an acquisition or are acquiring another practice are required to report any changes.
Practice acquisitions
Reporting acquisitions ensures timely payment. All acquisitions must be reported at least 90 days before they take effect.
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Step 1
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Gather documentation
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The acquiring group needs to gather the following documents and submit at least 90 days prior to the terminating group's termination date (or as outlined in your agreement):
Termination letter from the previous owner on their letterhead or a bill of sale
- A W-9 (PDF) from the purchasing group
- Updated provider roster to reflect post‑acquisition changes
- Details regarding any necessary member transitions for continuity of care
If your group performs CLIA‑regulated laboratory testing, please submit your current CLIA certificate. Providers who do not perform CLIA‑regulated testing are not required to upload a document. You may need to confirm with your group if this applies.
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Email required documentation
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Please email all documents to ProviderUpdates@bcbsnc.com and include your practice name and NPI number in the subject line.
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Complete the provider acquisition form
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Complete the form to help ensure correct and timely claims payment and minimize member disruption.
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Submit Acquisition Form
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Tax identification number (TIN) or legal name changes
If the TIN or practice legal name changes as a result of a merger or acquisition, please complete a new EFT form for the participating group.