May 28, 2025
Our members and other providers rely on our provider directory for accurate information about your practice. As a contracted provider, your directory data must be verified at least every 90 days, even if it hasn’t changed.
Your response is required: If you haven’t verified your data in at least 90 days, you may hear from us to verify your information, including:
- Whether you are active at a location or no longer working there
- Your location addresses, email addresses and hours of operation
- Whether you are accepting new patients
If you don’t respond to our outreach, your information may be removed from our directory until it can be verified.
You can verify your directory information every 90 days using:
- The Demographic Change Form to verify all required information
- The Provider Data Management feature in Availity® Essentials to verify some information. Availity doesn’t capture whether you are accepting new patients at this time.
Delegated groups that update their information by roster can verify all their providers’ information every 90 days by submitting a complete roster.
Updating your data: When your information changes, update it with:
- Us, including when you join or leave a network
- The National Provider Identifier Registry if you have a National Provider Identifier. Learn more from the Centers for Medicare & Medicaid Services National Plan and Provider Enumeration System.
To help our members access your services: Ensure your office staff members, including those at centralized offices:
- Have access to up-to-date information that aligns with information you’ve provided to us
- Can readily relay this information to our members or transfer them to the appropriate resource
Helpful directory information to regularly review includes your practice locations, phone number, specialty, appointment availability for new patients and in-network participation.
Learn more about verifying and updating your information.