August 18, 2022
As a reminder, the Consolidated Appropriations Act (CAA) of 2021 requires that certain directory information be verified every 90 days. It must be verified every 90 days even if your data hasn’t changed since you last verified it.
Under the CAA, we’re required to remove providers from Provider Finder® whose data we’re unable to verify.
What to Verify
Verify your name, address, phone, specialty and digital contact information (website) every 90 days. You also must update your information when it changes, including if you join or leave a network. See our Verify and Update Your Information page on our Provider website.
How Professional Providers Can Verify
- We recommend you use the Provider Data Management feature on Availity® Essentials to quickly verify your information with us and other insurers every 90 days. See the Provider Data Management web page and User Guide for more details.
- If you’re unable to use Availity, you may use our Demographic Change Form. See our User Guide on how to verify your data using this form.
- If you haven’t verified your data, you may receive email or postcard reminders from us. The email has a unique link to verify information.
How Facilities and Ancillary Providers Can Verify
Facilities and ancillary providers may only use the Demographic Change Form to verify information. See our User Guide for more details.
To Update Your Information
If you need to change your data, you may continue to use the Demographic Change Form. Professional providers may update some data in Availity Provider Data Management. See our Verify and Update Your Information page for details. Updating your data will count as your 90-day verification.
We won’t accept demographic changes by email, phone or fax to enable us to meet the two-day directory update requirement defined by the CAA. Any demographic updates requested through these channels will be rejected and closed.
Other Notices to Verify
You may receive other notices to verify your data for the Council for Affordable Quality Healthcare® (CAQH), which collects data as part of our credentialing and recredentialing process. These are separate from the CAA requirements. Entering and attesting to data for CAQH doesn’t verify the directory information needed for the CAA.
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 BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.The Council for Affordable Quality Healthcare, Inc. (CAQH) is a not-for-profit collaborative alliance of the nation's leading health plans and networks. The mission of CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staffs. CAQH is solely responsible for its products and services.