Required: Verify Your Directory Information Every 90 Days

By November 14, 2026 (90 days from policy date): Providers must establish a process to verify directory information quarterly. Designate office staff to review and confirm: active practice locations, office addresses, phone numbers, email addresses, hours of operation, and new patient acceptance status. Verification can be completed using: (1) the Demographic Change Form submitted to BCBS NM, (2) Provider Data Management feature in Availity Essentials (note: does not capture new patient status), or (3) for delegated groups, submit complete roster updates. Upon receiving outreach from Press Ganey vendor (July 20 - August 28 annual audit window), confirm all data immediately. Update information promptly through BCBS NM, CAQH Provider Data Portal, or National Provider Identifier Registry when any changes occur. Ensure front desk and centralized office staff have access to current verified information to provide accurate details to members. Failure to respond to verification requests will result in removal from BCBS NM provider directory until information is verified.