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 CAA, we’re required to remove providers from Provider Finder® if the information isn’t verified.
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 to Verify - Professional Providers
- We recommend the Availity® Essentials Provider Data Management feature to quickly verify your information with us and other insurers every 90 days. Availity allows one transaction to verify for multiple insurers. See the Provider Data Management webpage and User Guide for more details.
- If you’re unable to use Availity, 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 reminders from us. The email has a unique link to verify information.
How to Verify – Professional Provider Groups
Groups can verify individual providers through the Availity Provider Data Management feature or our Demographic Change Form.
How to Verify – Professional Provider Groups Who Submit Changes by Roster
Medical groups who update their provider information by roster can verify all their providers’ information every 90 days with their roster. When you submit a roster, all providers affiliated with this group and not listed with an update are verified as correct with no changes.
How to Verify – Acute and Ancillary Facilities
Facilities and ancillary providers may only use the Demographic Change Form to verify information. See our User Guide for more details.
How to Update Your Information – All Facilities and Professional
If you need to change your data, you may continue to use the Demographic Change Form. Professional providers may update some data in Availity’s Provider Data Management feature. See our Verify and Update Your Information page for details. Updating your data will count as your 90-day verification.
To enable us to meet the two-day directory update requirement defined by the CAA, we won’t accept demographic changes by email, phone or fax. Any demographic updates requested through these channels will be rejected and closed.
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 BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.