As part of the Consolidated Appropriations Act, healthcare providers are now required to update and verify their provider directory data every 90 days, regardless of whether changes are made. Historically, Blue Cross Blue Shield of Michigan and Blue Care Network have mailed requests for this attestation.
Soon, facilities and organizational providers (also known as allied providers) with Type 2 NPIs will be required to update and confirm the following details in the Provider Data Management tool through Availity Essentials™:
– Provider name
– Specialty
– Location
– Phone number
– Electronic contact information or website
This update ensures accuracy in the provider directory. Failure to complete the quarterly attestation will result in removal from the directory and may impact claim processing.
For clarification on which providers are considered organizational, refer to the section “Which providers are organizational providers” later in this article.
**Important Information:**
If you need to update information beyond the list above, you will need to submit a change form. To access these forms:
1. Visit bcbsm.com/providers, select “Enrollment,” then click “Enroll or Make Changes.”
2. Choose your classification type:
– For Hospitals and Facilities: Click “Next,” select your facility type, then follow the prompts to access the change form.
– For Physicians and Professionals: Click “Next,” select “Change an existing provider,” and proceed to find the appropriate change form under Organizational/Allied Providers.
Group providers and individual practitioners are not affected by this update and should continue using the existing tools:
– Group providers: Use the Provider Enrollment and Change Self-Service tool.
– Physicians and non-physician practitioners: Use the CAQH Provider Data Portal (formerly CAQH ProView®) for updates.
Stay tuned for further details in future provider alerts and newsletters.