All PlansAdministrativeMedium impact
Verify Your Directory Information Every 90 Days
BCBS Oklahoma·OK·General
Effective date
Aug 17, 2026
We identified it
Aug 18, 2026
Summary
Blue Cross Blue Shield of Oklahoma now requires all providers to verify and update their directory information every 90 days per federal law. This applies to name, address, phone, specialty, and digital contact information regardless of whether details have changed. Verification can be completed through Availity Essentials Provider Data Management or the Demographic Change Form roster process.
Action Required
By November 15, 2026 (90 days from policy date): Establish a recurring verification process for all provider directory information. ACTION 1 - Billing/Administrative Team: Set up a calendar reminder for every 90 days to verify and update provider information in Availity Essentials or submit the Demographic Change Form roster. ACTION 2 - Front Desk/Office Staff: Ensure staff have access to current, accurate information including practice locations, phone numbers, specialties, appointment availability for new patients, and in-network participation status to relay to members. ACTION 3 - For Medical Groups using Type 2 contracts: Designate responsibility for roster submission every 90 days to verify all contracted providers. ACTION 4 - Provider Removal: Use only the Demographic Change Form (not Availity Essentials) to remove individual providers from groups, selecting 'Remove Provider from Group/Location' in the Type of Change field. CONSEQUENCE: Failure to verify directory information every 90 days may result in inaccurate member access to services, potential compliance violations with federal requirements, and claims issues if directory data becomes outdated.