11/23/2022
Have you had a change in your location, phone number, email or other important details? As indicated in your provider agreement and as required by the Consolidated Appropriations Act (CAA) of 2021, make sure you verify and notify Blue Cross and Blue Shield of Texas (BCBSTX) of these changes timely. It’s important that your demographic information is current so our members can locate you in our Provider Finder® tool. Be sure to review yourself on Provider Finder to verify the accuracy of your information.
CAA Requirement
As a reminder, the Consolidated Appropriations Act (CAA) of 2021 requires that certain directory information be verified every 90 days even if your data hasn’t changed since you last verified it. Under the CAA, we’re required to remove providers from Provider Finder® whose data we’re unable to verify.
What to Verify
Verify every 90 days, your name, address, phone, specialty, and digital contact information (website) every 90 days and you must update your information when it changes. This includes if you join or leave a network. Refer to the Verify and Update Your Information page on our provider website.
Professional Providers Verification Process
- We recommend you use the Availity® Essentials Provider Data Management feature to quickly verify your information with us and other insurers every 90 days. See the Provider Data Management web page and User Guide for more details.
- If you’re unable to use Availity, you may use our Demographic Change Form. See our User Guide on how to verify your data using this form.
- If you haven’t verified your data, you may receive email or postcard reminders from us. The email has a unique link to verify information.
Facilities and Ancillary Providers Verification Process
Facilities and ancillary providers may only use the Demographic Change Form to verify information. See our User Guide for more details.
We appreciate the care you provide to our BCBSTX Medicaid members and want to ensure that your current information is available to them.