When provider directories have inaccurate information, it creates barriers for patients who need care as they are forced to call several provider offices before they can find one that meets their needs and is accepting patients. Therefore, it’s important you keep your directory information accurate and up to date.
The law requires us to keep directory information on our website current, and we can’t do it without your help. This requirement applies to all providers in our network. If you do not keep your data current and attest to its accuracy regularly, you could be removed from our directory.
Verify that your information is correct
To validate the information on our website:
- Go to Find a Doctor & Estimate Costs.
- Fill in your name or your facility name and zip code.
- Enter a network (example: HMO Blue) and click Search.
- Review the information for all your site locations.*
*Only addresses where members can make appointments will display in the directory.Be sure to validate: - Addresses
- Board certification
- Gender
- Hospital affiliations
- Languages spoken
- Medical groups
- Phone numbers
- Specialties
- Whether you are accepting new patients
- Whether you offer telemedicine
Note: A new practice display limitation policy will take effect on November 1, 2021. This policy will limit the number of locations that we’ll display for an individual provider in our directory to five practice locations. Read more here.
If you need to update your information, refer to the following.
Update your information using Council for Affordable Quality Healthcare (CAQH) ProView®'.
- Log in at proview.caqh.org
- Review the data in your Provider Directory Snapshot
- Make any necessary updates
- Confirm that the directory information can be published
It is important that you review your CAQH Proview data and attest to its accuracy every 120 days. If your information is not attested to regularly, we will suppress you from our directory.
We use CAQH ProView for credentialing and recredentialing and we now use it to ensure accuracy in our provider directories with DirectAssure. DirectAssure works within ProView and allows you to update professional and practice information and share it with multiple health plans. This streamlines the communication process for you and keeps your credentialing information current to avoid any delays in the recredentialing process, which occurs every 2 years.
Keep in mind, contractual changes may require you to submit more information.
We’ll continue outreach this Fall
We may send you multiple requests to validate your information and request feedback. This outreach may include letters, phone calls, and emails from Blue Cross. Please note that we also use Alchemer to conduct our emails and surveys. Be sure to look out for these requests and respond to them promptly.
Questions?
If you have questions, email us at ProviderDirectoryInfo@bcbsma.com.
MPC_052620-1Q-17