Email received from : RSaldivar@humana.com  Sub : {}Demographic Update_Interaction#2000207180578 {humcrypt}Demographic Update_Interaction#2000207180578   Hi Ahmed,    Thank you for reaching out today. As mentioned on the call, I am sending you the copy of the template you would need to fill out to proceed with your request to add a new service address for your practice Rabagos Health Care under TIN: 460575924.   Attached is the excel sheet you would need to fill out. Please refer to the PDF file for the FAQs which could help you understand this template better. In addition, if you have questions about completing the form, you may read the instructions on the Data Dictionary Definition sheet for guidance. Please go to the highlighted section of the sheet below upon opening the file. This is the section you would need to go to supply your Update Request.  Send the completed roster to the email address below.  stxnm@humana.com   Required fields are highlighted in blue on each tab, and guidance on how to fill those fields can be found on the Data Dictionary Definition tab. If there are information that you think are not necessary, please put NA. On the other hand, if there are information you think are required but is not highlighted in blue, feel free to supply the information.   Thank you,  Rochele Saldivar Network Specialist | Provider Relations   Humana  HGS Manila T 800-626-2741 F NA RSaldivar@humana.com