Please notify the VHP in writing whenever a change in any of the following occurs:

• Addition or deletion of clinic site
• Billing address or practice location change
• Board certification or eligibility status change
• Change in Tax Identification Number (TIN)
• Hospital affiliation
• Languages spoken in practice
• Name change
• New physicians or mid-level practitioners added to current practice
• Office hours
• Privileges and licensure status
• Professional malpractice or premise liability insurance
• Termination from employment

You can fax your submissions to Provider Relations at 408.793.6648 or submit your changes in writing to:

Valley Health Plan
Attn: Provider Relations
2325 Enborg Ln, Suite 290
San Jose, CA  95128

A Provider Dispute is a contracted or non-contracted provider’s written notice to the Plan challenging, appealing or requesting reconsideration of a claim that has been denied, adjusted, contested or seeking resolution. Please submit your written notice along with supporting documentation to:

Valley Health Plan
Attn: Provider Disputes
P.O. Box 28387
San Jose, CA  95159