All PlansAdministrativeMedium impact
Verify Your Directory Information Every 90 Days
BCBS Texas·TX·General
Effective date
Aug 17, 2026
We identified it
Aug 18, 2026
Summary
Blue Cross Blue Shield of Texas now requires all providers to verify and update their directory information every 90 days to comply with federal law. This includes name, address, phone, specialty, and digital contact information. Providers can verify through Availity Essentials, the Demographic Change Form, or by submitting rosters for group practices.
Action Required
By October 16, 2026 (90 days from policy date): Billing and front desk staff must establish a quarterly verification process to ensure all directory information is current in BCBS Texas systems. Designate a staff member to verify provider name, address, phone number, specialty, digital contact information, and appointment availability using either Availity Essentials Provider Data Management feature or the Demographic Change Form every 90 days. For Texas Medicaid providers, use the Provider Enrollment and Management System (PEMS) to update information. Texas providers removing individual providers from groups must use the Demographic Change Form (not Availity). Document verification completion dates in practice records. Failure to maintain current directory information may result in members being unable to locate the practice, affecting patient access and claims processing.