Provider Directory Information Verification

The Consolidated Appropriations Act (CAA) requires certain provider directory information to be verified every 90 days. Providers and insurers have roles in fulfilling this requirement to maintain an accurate directory.

What This Means for You

As of Jan. 1, 2022, you must:

  • Verify your name, specialty, address, phone and digital contact information (website) for our provider directory every 90 days
  • Update your information when it changes, including if you join or leave a network

Under CAA, we're required to remove providers from displaying in Provider Finder® whose data we're unable to verify.

We recommend using the Provider Data Management feature on Availity® Essentials to quickly verify and update your information with us and other insurers every 90 days. If you’re unable to use Availity, you may submit a Demographic Change Form. Facilities may only use the Demographic Change Form to verify and update information. Updates will be reflected in our Provider Finder. Learn more on our Verify and Update Your Information page.

If you leave a network, you should update your directory information immediately and according to your contract terms.  If you’re incorrectly identified as an in-network provider, it may limit member cost-sharing to in-network levels.

We won’t accept demographic changes by email, phone or fax to enable us to meet the two-day directory update requirement defined by the CAA. Any demographic updates requested through these channels will be rejected and closed. 

To apply to join our networks or add a provider to your current group, see How to Join

More on the CAA and Transparency in Coverage Final Rule

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 BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.