Incorrect provider data could be costing you more than new patients

Provider data is essential to good healthcare. It affects every aspect of care – from the patient who seeks care to unnecessary billing and administrative complications. According to the American Medical Association, 52% of physicians encounter patients every month with coverage issues due to inaccurate in-network physician information.² We share in the responsibility to provide accurate data. In October, Anthem is implementing the Provider Data Management app through Availity. The app is a seamless way to update your provider data information.

Availity Provider Data Management app is multi-payer, making it even more convenient

Keeping your practice’s information current is as critical as the care you provide to members. It enables provider directories to reflect your practice at its best. Things like names, addresses, phone numbers and email contacts are critically important to your patients. Claim payments also rely on this information, as do updates to policies and procedures. Unique identifiers such as tax ID number (TIN), DEA numbers and provider-assigned identification numbers make it possible to identify specific individuals within your practice – even in large practices or multi-facility organizations. Provider information is so important, in fact, that CMS and the most recently passed H.R. 133 – Consolidated Appropriations Act (No Surprises Act) require providers to verify and update their provider directory information at least every 90 days.

The Availity Provider Data Management app enables you to update your provider data all at one time, all in one place. Log onto Availity.com and select the My Provider tab. Choose the Provider Data Management App to verify and to update information about your practice.

If you are new to Availity, select someone from your organization to act as the administrator for your Availity account. The administrator should log onto Aviality.com/provider-portal-registration to register. There are no set-up fees, monthly fees or per claim fees to set up an account with Availity. If you need some help registering, reach out to Availity Client Services at 1-800-AVAILITY (1-800-282-4548), 8:00 a.m. to 8:00 p.m., Monday through Friday.

1. For the Record. HER Insider: The consequences of Inaccurate Provider Directories. https://www.fortherecordmag.com/archives/0918p10.shtml2. White Paper: Defining the Provider Directory dilemma. https://www.caqh.org/sites/default/files/explorations/defining-provider-data-white-paper.pdf

 

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