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InstaMed Change Form

Update Your Account via Paper Change Form:

Download and complete the appropriate form(s) and fax to (877) 685-0745.

Change Admin User:

Download Form


Delete NPI:

Download Form


User Verification:

Download Form

Laptop displaying InstaMed Online login screen

Update Your Account via InstaMed Online:

You can update the forms listed below via InstaMed Online. Log into your account via InstaMed Online for Providers. To make updates, click Configure and Account Info.

Add New NPI
Change Address
Change Bank Account
Change Notification Email
Change Remittance and Claim Connectivity

Please log in for all other changes.

Questions?

If you have any questions, please contact us directly: (866) INSTAMED (467-8263) [email protected]