Verify and Update Your Information Online via Availity® Provider Data Management 

March 3, 2022

The Availity Provider Data Management (PDM) tool offers professional providers a quick and easy way to update, validate, and attest to the accuracy of their information on file with Blue Cross and Blue Shield of New Mexico (BCBSNM). This multi-payer tool in Availity Essentials also allows you to make updates once and have that information sent to all participating payers.

PDM offers two workflows:

  1. Directory Verification – Must verify and/or update your business’ directory information every 90 days as part of the federal Consolidated Appropriations Act (CAA) of 2021. Receive quarterly notifications within Availity when it’s time to verify directory information.
  2. Core PDM – Update information about your business and provider directories, as well as key staff directories.   

Below is some helpful guidance on PDM updates for BCBSNM.  

Accepted

Not Accepted
  • Doing Business As (DBA) name 
  • Business website URL
  • Provider’s personal information 
  • Service locations address change
  • Service location contact information
  • Languages spoken
  • Hours of operation
  • Payment address change and contact information
  • Patient accepting status by Network (not applicable to Medicare/Medicaid)
  • Medicare ID
  • Hospital Affiliations

These updates should be made by completing the appropriate form on the Verify and Update Your Information page of our website:

  • National Provider Identifier (NPI) number or Tax ID number change
  • Business closure
  • New provider or new service location
  • Inactivate a provider or delete a service location
  • Organization’s business name change

 

Facility, laboratory, dental, and ancillary* providers should request demographic and other changes by completing the appropriate form on the Verify and Update Your Information page of our website.

PDM is accessible to existing Availity Administrators and users assigned the Provider Data Management role. If you are not an Availity registered user and would like to use this tool, sign up today at Availity or contact Availity Client Services at 800-282-4548.

 

*Ancillary includes supplier of health care related equipment or services such as durable medical equipment, prosthetics, orthotics, drugs, medical supplies, etc.

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.