Coming soon: Facilities, organizational providers should update information in Provider Data Management tool within Availity Essentials

Per the Consolidated Appropriations Act, health care providers must update and attest to the accuracy of their provider directory data every 90 days, even if no changes are needed. In the past, Blue Cross Blue Shield of Michigan and Blue Care Network have sent letters to providers to request attestation of this information.

Soon, existing facilities and organizational providers (also known as allied providers) with Type 2 NPIs will be required to update and attest to the following information in the Provider Data Management tool in our provider portal, Availity Essentials™:

• Name
• Specialty
• Location
• Phone number
• Electronic contact information or website

Updating this information in our provider portal will update our provider directory.

Failure to complete the quarterly attestation will result in being removed from our provider directory and may affect our ability to process claims on your behalf.

To learn which providers are organizational providers, see “Which providers are organizational providers” later in this article.

Important:

• Facilities and organizational providers who need to update information other than the items listed above will have to submit the applicable change form. To access the change forms, go to bcbsm.com/providers, click on Enrollment, click on the Enroll or Make Changes button, select your classification type and then do the following:
• If you selected Hospital and Facilities, click on Next, select the appropriate type of facility and click on Next again. Click on the link for the appropriate change form.
• If you selected Physicians and Professionals, click on Next, click on Change an existing provider and click on Next again. Click on the appropriate option under Organizational/Allied Providers and click on Next. Click on the link for the appropriate change form
• The change described above won’t affect group providers or individual practitioners. Group providers should continue to use the Provider Enrollment and Change Self-Service tool. Physician and nonphysician practitioners should continue to use the CAQH Provider Data Portal application (formerly known as CAQH ProView^®) and change forms found on bcbsm.com.

We’ll publish additional information in an upcoming provider alert and our provider newsletters.

Availity^® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.