All PlansAdministrativeMedium impact
Keep Your Directory and Other Information Current
EmblemHealth·Provider News
We identified it
Jul 17, 2026
Summary
EmblemHealth is requiring providers to maintain current and accurate directory information by verifying practice details in CAQH ProView at least every 120 days. This administrative requirement aims to ensure patients can locate providers, maintain regulatory compliance, and prevent claim delays caused by outdated contact or location information.
Action Required
By every 120 days (ongoing): Front office or administrative staff must log into the CAQH ProView account and verify/attest that all practice information (address, phone, hours, specialties) remains current and accurate. Ensure EmblemHealth is authorized to access CAQH data. For practices with delegated credentialing arrangements, follow your internal administrative process to report any changes. Failure to maintain current directory information may result in scheduling issues, missed appointments, and claim delays.