Updating Your Provider Information
Key Data Elements
Data elements required by CMS and crucial for member access are:
- Provider/physician name and National Provider Identifier (NPI)
- Practice location(s) and Group Name (phones number, fax numbers, address, suite, city, state, ZIP code).
- Office hours
- Patient acceptance
- Practicing specialty
- Awareness of provider’s participation in our network
Health plans also should include up-to-date information for the following:
- Anticipated changes in participation with health plan (e.g. retirement, moving out of area, available as covering only)
- Languages spoken
- Physical disabilities accommodations
- Indian health service status
- Licensing information
- Provider credentials
- Board certification
- Email addresses
- Any change that may materially impair your ability to carry out the duties and obligations of our agreement
- Hospital affiliation
Current practice information can be reviewed on our online provider finder at bcbswny.com/provider.
Updates can be submitted by completing a Provider Demographic Change Form
View Forms and select Provider Demographic Change Form under the Practice Administration heading. You can also email us firstname.lastname@example.org. Please include your individual NPI number in the subject line.
Changes also should be reflected on your Council for Affordable Quality Healthcare (CAQH) application.
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