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Making it Easier to Verify Provider Information

October 24, 2019

To: All Providers

We’ve partnered with BetterDoctor to help us provide your BlueCross BlueShield patients with an up-to-date, accurate directory of our network providers.

Verifying your information with BetterDoctor ensures that:

  • Your information in our provider directory is accurate
  • You are compliant with recent federal regulation mandating providers update their information quarterly or every six months as contracted to avoid misdirecting patients
  • We are compliant with the Centers for Medicare and Medicaid Services (CMS) requirement to reach out to providers on a quarterly basis

During the first quarter of 2020, BetterDoctor will begin an outreach campaign. Outreach will consist of contact being made through email, facsimile or United States Postal Service.

All you’ll need to do is access or click on the link and enter the access code to get started.

If you are already up-to-date with BetterDoctor for another health plan, we will be able to access your information without any action on your part.

All providers will still need to keep their Council for Affordable Quality Healthcare (CAQH) profile up-to-date. New York State Department of Health requires that providers update and attest their CAQH profiles every 90 days, and CAQH sends regular email reminders. Thank you for supporting this important initiative.

Recent Articles

  • Individual Provider Recontracting Initiative
    We will be amending and restating our existing contracts. Starting next month, all directly contracted individual providers will be sent an updated contract. The New York State Department of Health (DOH) requires that each provider sign and return their amended/restated contract.
  • New Digital Provider and Facility Reference Manual
    We’ve upgraded our Provider and Facility Reference Manual, which is now available in digital format. The new manual offers a better, more interactive user experience. Here, we highlight some of the new features.
  • Updates to Screening for Hepatitis C Virus (HCV) in Adults
    Hepatitis C virus (HCV) is reportedly the most common blood infection in the country. The U.S. Preventive Services Task Force has updated the recommendation for HCV screening in March 2020 to now include all adults ages 18 to 79 without known liver disease, regardless of their risk for infection.
  • Update to Spine Preauthorization Process
    To help streamline the preauthorization process for spine procedures and injections, all these requests will be submitted directly to our Utilization Management Department beginning October 1, 2020. We will no longer require any requests to be submitted through Palladian Health.
  • Care at Home Expanded for Medicare Advantage Patients
    Beginning on July 7, more Medicare Advantage patients will be eligible to enroll in a new extension of the Care at Home program -- Care at Home℠ On Call -- which offers some urgent care in-home services. Care at Home On Call will be offered to newly enrolled Medicare Advantage members.

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Additional Resources

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