July 6, 2023
Keeping your provider data accurate is more important than ever. The federal No Surprises Act requires health plans to verify all provider directory data every 90 days and remove unverified providers from their directories. It also requires all providers and facilities to submit their information to in-network plans.
To comply with No Surprises Act regulations, we’re removing providers who haven’t verified their directory information over the past 18 months, starting July 16. If you haven’t updated your information lately, now is the time to do so.
Here’s how to update your information quickly and simply:
BetterDoctor
To help make verification easy, Premera uses the BetterDoctor online portal from Quest Analytics in the following ways:
- You’ll be contacted by BetterDoctor every 90 days by fax, mail, email, and/or telephone to verify your provider directory information.
- You need to respond and attest or provide changes.
- Updates captured by BetterDoctor will be passed on to Premera and entered into our system.
- If you’re mistakenly removed from our directory, contact BetterDoctor to restore your listing.
A training is also available in the Provider Learning Center. You can contact BetterDoctor at support@betterdoctor.com or by phone at 844-668-2543, Monday through Friday, 7 a.m. to 3 p.m. Pacific Time.
Provider Update Form
If your office information has changed recently and the information isn’t captured through the Better Doctor outreach, email us a completed provider update form.
National Plan & Provider Enumeration System (NPPES)
The Centers for Medicare and Medicaid Services (CMS) has also asked us to remind you to review your National Provider Identifier (NPI) data in the National Plan & Provider Enumeration System (NPPES). Providers are legally required to keep their NPPES data current.
When reviewing your provider data in NPPES, please update any inaccurate information in modifiable fields including provider name, mailing address, telephone and fax numbers, and specialty.
NPPES information is also used by Quest Analytics. Keeping your information accurate can reduce the information that needs to be updated through the Quest Analytics online portal.