March 3, 2022
In October, we told you about the Consolidated Appropriations Act (CAA) of 2021 and its requirements for provider directory information. One requirement is that all our contracted providers must be listed in our Provider Finder, including those who chose not to be displayed in the past.
What This Means for You
- If you previously chose not to be listed in Provider Finder, your directory information will be displayed starting in February. Directory information includes name, location and hours, contact information, specialties, languages spoken, credentials, affiliations and whether you are accepting new patients. The address you’ve provided to Blue Cross and Blue Shield of New Mexico (BCBSNM) will be displayed.
- To verify or update your information, you may use the Availity® Provider Data Management feature (preferred) or our Demographic Change Form. Facilities may only use the Demographic Change Form to verify and update information. Under CAA, your provider directory information must be verified every 90 days. Learn more on our Verify and Update Your Information page.
- We won’t accept changes by email, phone or fax to enable us to meet the two-day update requirement defined by CAA. Any demographic updates requested through these channels will be rejected and closed.
- If you’re a hospital- or facility-based provider who is not credentialed with BCBSNM, you must apply for credentialing. Watch for more information in upcoming News and Updates.
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 any products or services provided by third party vendors such as Availity.