Provider Directory Information Verification

Nov. 18, 2021

Requirement of the Consolidated Appropriations Act (plan years on or after Jan. 1, 2022)

The Consolidated Appropriations Act (CAA) requires provider directory information to be verified every 90 days. Providers and insurers have roles in fulfilling this requirement to maintain an accurate directory.

What this means for you: Starting Jan. 1, 2022, you must:

  • Verify your directory information every 90 days
  • Update your information when it changes, including if you come in or go out of a network

We recommend using the Availity® Learn more about third-party links Provider Data Management feature to quickly verify and update your information with us and other insurers every 90 days. If you are unable to use Availity, you may submit a Demographic Change Form Learn more about third-party links or, if you are new to our networks, the Provider Onboarding Form. We won’t accept changes by email, phone or fax. Updates will be reflected in our Provider Finder® Learn more about third-party links.

Under CAA, we are required to remove providers from our directory whose data we are unable to verify within 90 days. If you don’t verify your details every 90 days, we will reach out to you by email and ask that you quickly respond by following the unique link in the email. It will take you to a secure landing page where you can update your information.

If you leave a network, please update your directory information immediately. If you are incorrectly identified as an in-network provider, it may limit member cost-sharing to in-network levels.

More on the CAA and Transparency in Coverage Final Rule.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSXX. BCBSXX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.

Learn more about third-party links By clicking this link, you will go to a new website/app (“site”). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy.

Blue Cross and Blue Shield of MT, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association