Reminder: Attest to provider data as required

Professional practitioners, facilities and organizational (or allied) health care providers must attest to their information as required to:

• Ensure affiliation with Blue Cross Blue Shield of Michigan or Blue Care Network isn’t interrupted.
• Keep contact information up to date.
• Make sure claims payments aren’t interrupted.

Facilities and organizational (allied) providers

Every 90 days, facilities and organizational (allied) providers with Type 2 national provider identifiers must update and attest to the following basic provider information in the Provider Data Management tool in our provider portal, Availity Essentials™: name, specialty, address, phone number and digital contact information. Attestation is required even if no changes are needed. This is a requirement of the Consolidated Appropriations Act.

To learn more, see the document Update and attest to facility and organizational provider information in the Provider Data Management tool within Availity Essentials.

Professional practitioners

All professional practitioners, including those who practice at an office location or practice exclusively in an inpatient hospital setting, need to attest to their data.

Attestation must be completed in the CAQH Provider Data Portal, formerly known as CAQH ProView^®, every 90 and 120 days. Here’s what professional practitioners need to do:

If professional practitioners don’t attest in CAQH as required, they won’t be included in the Blue Cross and BCN provider directories, including our Find a Doctor search tool.

If you’re practicing exclusively in an inpatient hospital setting, you must indicate that on your CAQH credentialing application. This information is used to determine whether full credentialing is required.

CAQH is a nonprofit alliance of health plans and trade associations focused on simplifying health care administration. Blue Cross and BCN use CAQH to gather and coordinate our professional practitioner credentialing information. All health care practitioners, including hospital-based providers, must be registered with CAQH.

If you have questions about CAQH, call the CAQH Solutions Center at 1-888-599-1771, or go to CAQH.org.**

For more information on attestation, go to our Provider Data Attestations page.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

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.