When seeking health care services, our members often rely on the information in our provider directory.
You must update your information when it changes, including if you join or leave a network. Your provider directory information must be verified every 90 days, even if it hasn’t changed since you last verified it.
More details are below on tools to verify and update your information, as well as federal requirements. If you have questions, contact your network representative.
Verify Your Information Every 90 Days
Certain directory information must be verified every 90 days to fulfill the federal Consolidated Appropriations Act of 2021.
What to verify: Verify your name, address, phone, specialty and digital contact information (website) every 90 days. It must be verified every 90 days even if your data hasn’t changed since you last verified it.
Under CAA, we’re required to remove providers whose data we’re unable to verify from displaying in our directory.
Update Your Information When It Changes
You must update your information when it changes, including if you join or leave a network.
If you leave a network: Update your information immediately and according to your contract terms. If you’re incorrectly identified as an in-network provider in our provider directory, it may limit member cost-sharing to in-network levels.
To remove a provider from a provider group: You must use the Demographic Change Form rather than Availity Essentials to term an individual provider. In the form under Type of Change, select “Remove Provider from Group/Location.”
Changes to your information must be submitted electronically unless you have otherwise opted out of conducting business with us electronically; in that case, changes will be accepted by U.S. mail.
More details are below on options to update your information.
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.