PRACTITIONER LISTING INACCURACY REPORTING

In accordance with regulatory requirements, the practitioner listing is validated on a quarterly basis. Reported inaccuracies are promptly investigated, with updates being posted to the practitioner listing within 30 days (or sooner, where required by law).

If you believe there is an inaccuracy in the practitioner listing you have three (3) ways to report the potential inaccuracy. You may send an email to ProviderInfo@ashn.com, call (800) 972-4226 Opt. 4, or complete and submit the electronic form below. Please note this form is for the reporting of potential practitioner listing inaccuracies only; if you have a complaint or grievance, please refer to the Grievance Section at: Resources – Members

Field containing the inaccurate information:

Provider Name: Clinic Information (Name, Address, Phone, Email): Practitioner Information (License Type, Specialty, Accepting New Patients, Languages Spoken by Practitioner or Staff): Other:

Please provide corrected information for review:

     

 

In the event that we need to contact you for clarification or additional information, please provide the following information:

First Name: Last Name: Phone Number:
Email: