Physicians apprehensive regarding requests for provider directory information The California Medical Association (CMA) continues to receive inquiries from practices concerned about the validity of requests for payors to confirm physician demographic information. The requests are related to the new provider directory accuracy law that took effect on July 1, 2016 (SB 137). Under the new law, physicians are required to respond to plan and insurer notifications regarding the accuracy of their provider directory information either by confirming the information is correct or by updating demographic information as appropriate. As with any request for protected information, practices should verify ... August 9, 2017 General Medical Provider Networks, Network Adequacy, Prov ider Directories, Provider Directory Accuracy Law, Provider Networks 0 0 Comment Read More »
AHIP conducting follow-up survey on Provider Directory Pilot America's Health Insurance Plans (AHIP) is conducting a follow-up survey of providers to evaluate the process and results of its earlier Provider Directory Pilot program. This program was aimed at meeting the requirements of California Senate Bill 137, which requires that physician directories are more accurate and up-to-date. AHIP has contracted with independent research organization NORC, at the University of Chicago, to reach out to providers as part of the evaluation phase of the provider directory pilot. Outreach to providers will include an online survey of provider office staff who ... November 16, 2016 General, Managed Care Network Adequacy, Provider Directories, Provider Directory Accuracy Law 0 0 Comment Read More »
Have you received a request to confirm provider directory information from BetterDoctor? The California Medical Association (CMA) has received an increasing number of inquiries over the past few weeks from practices concerned about the validity of requests for information from a company called BetterDoctor. SB 137, the new provider directory accuracy law, took effect July 1. The new law requires payors to ensure that their physician directories are accurate and up-to-date. BetterDoctor is a vendor working on behalf of 10 plans on a pilot project to ensure the accuracy of their physician directories, as required under the new law. Practices are encouraged ... September 22, 2016 Managed Care Health Insurance Exchange, Provider Directories, Provider Directory Accuracy Law, Exchange Plans 0 0 Comment Read More »
CMA publishes guide on new provider directory accuracy law On July 1, 2016, a new law took effect that requires plans to ensure that their physician directories are accurate and up-to-date. The law (SB 137) includes multiple components aimed at providing patients with more accurate and complete information to identify which providers are in their payors' networks. The California Medical Association (CMA) has published a new guide to help physicians understand the new law, and what they need to do to avoid penalties. The guide, "What Physicians Need to Know to Avoid Penalties Under the New Provider Directory Accuracy ... July 14, 2016 General, Managed Care Provider Directory Accuracy Law, Provider Directories 0 0 Comment Read More »
Have you gotten an information request from BetterDoctor? The California Medical Association (CMA) has received several inquiries over the past few weeks from practices concerned about the validity of requests for information from a company called BetterDoctor. As you may know, a new law took effect July 1 that requires payors to ensure that their physician directories are accurate and up-to-date. BetterDoctor is a vendor working on behalf of a number of plans on a pilot project to ensure the accuracy of their physician directories as required under the new law. Practices are encouraged to respond to the ... July 14, 2016 Managed Care Provider Directories, Provider Directory Accuracy Law 0 0 Comment Read More »
