All PlansAdministrativeHigh impact
New Year, Same 90-Day Validation Requirements
BlueCross BlueShield of South Carolina·SC·Other
We identified it
Aug 20, 2026
Summary
South Carolina Blues is reminding providers that they must validate demographic data every 90 days per the Consolidated Appropriations Act (CAA) requirement. Providers who fail to complete validation within 90 days will be suppressed from the insurance directory. Validation can be completed through M.D. Checkup in My Insurance Manager (MIM), and directory updates occur within two business days of verification.
Action Required
ONGOING: All providers must validate demographic data in M.D. Checkup within My Insurance Manager (MIM) at least every 90 days to remain active in South Carolina Blues directories. Specific steps: (1) Log into MIM; (2) Select 'Validate Now' in the purple 'Provider Validation' box; (3) For locations with 'Verification Required' or 'Suppressed from Directories' status, select 'View & Edit'; (4) Review and update demographic information as needed; (5) Select 'Verify' to submit. Billing team and credentialing staff should monitor 90-day validation windows for all practice locations. Failure to validate will result in provider suppression from directories, potentially eliminating referrals and patient access to billing for that location.