Provider directories are important to helping patients find the care they need. Therefore, it’s important you keep your directory information accurate and up to date.
The Consolidated Appropriations Act (CAA) requires provider directory information to be verified every 90 days. Providers and health insurers have roles in fulfilling this requirement to maintain an accurate directory. Therefore, it’s important you keep your directory information accurate and up to date.
You are required to:
If you are a clinician—including behavioral health providers, we recommend using Council for Affordable Quality Healthcare (CAQH) ProView®’ portal to quickly verify and update your practice location information with us every 90 days. CAQH Proview will send email verification and re-attestation reminders.
If you are a facility, group practice, or lab, we’ll reach out to you to review and validate your information quarterly. Updates will be reflected in our Find a Doctor & Estimate Costs provider directory.
Keep in mind, contractual changes may require you to submit more information. Please review the forms here.
Under CAA, we are required to remove provider practice locations from our directory whose location data we are unable to verify within 90 days. We recommend using CAQH Proview as you will receive quarterly reminders directly from them.
If you leave a Blue Cross network, please update your directory information immediately by submitting an update form.
If you have questions, email us at ProviderDirectoryInfo@bcbsma.com.