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Provider directory update & reminder to keep information current
December 20, 2019

When members are looking for medical care, online provider directories are important tools for helping them find network providers. Patients and their caregivers rely on our directories for contact and other critical information when making health care decisions.

That’s why it’s important that our online resources are accurate. The law requires us to keep the information on our website current, and we can’t do it without your help. This requirement applies to all providers in our network.

Reminder

Verify that your information on our website is correct.

  1. Go to Find a Doctor & Estimate Costs and click Browse Doctors without signing in.
  2. Fill in the required fields and click Search.
  3. Check the record for all your site locations.*
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

*Only addresses where members can make appointments with clinicians should be in the directory.

If everything is accurate, you don’t need to do anything else.

When updates are needed

Since you can’t update the Find a Doctor & Estimate Costs site by yourself, use one of the forms listed below:

If you are a Use the
Hospital, facility, or lab Update Form for Facilities
Any other provider type* Standardized Provider Information Change form

* Doctors: remember to go caqh.org (Council for Affordable Quality Healthcare) to update your recredentialing application there as well as on the form.

Don’t wait – keep your information current

Even if your information is up-to-date now, please be sure to submit changes as they arise. We’ll continue our provider directory outreach throughout the year while we work with the CAQH to implement DirectAssure.

Important: CAQH DirectAssure

The DirectAssure provider directory validation project is underway. Together, all Massachusetts health plans are working with the CAQH to create a streamlined solution for a seamless provider experience.

We appreciate your continued support as we work to implement DirectAssure. We’ll continue to provide important project announcements and implementation information on Provider Central.

As always, thank you for the care you provide to your patients—our members.                  

Questions?

Call Network Management and Credentialing Services at 1-800-316-BLUE (2583).

MPC_092815-1M-109-ART

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