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Verify Your Directory Information Every 90 Days
Effective date
Not stated in the notice
Identified
Nov 7, 2026
Previous versions
- Verify Your Directory Information Every 90 Days · effective Aug 17, 2026
- Verify Your Directory Information Every 90 Days · effective Feb 19, 2026
- Verify Your Directory Information Every 90 Days · effective May 20, 2026
Summary
Blue Cross and Blue Shield of Texas published a reminder that provider directory information must be verified every 90 days, even if nothing has changed, and that changes to name, address, phone, specialty, or digital contact details must be updated with the payer, the CAQH Provider Data Portal, and the NPI Registry. Practices can verify through Availity Essentials Provider Data Management or the Demographic Change Form, and Texas Medicaid providers must update through PEMS.
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What to do
Action · 5 steps
01Ongoing: Designate a billing or credentialing staff member to verify each provider's name, address, phone, specialty, appointment availability, and in-network status every 90 days using Availity Essentials Provider Data Management or the Demographic Change Form, or by submitting a roster if the group updates by roster.
02Whenever a provider joins or leaves a network or a detail changes, update the payer, CAQH Provider Data Portal, and NPI Registry.
03To remove an individual provider from a group, use the Demographic Change Form and select 'Remove Provider from Group/Location' rather than Availity.
04Texas Medicaid providers must update through PEMS.
05Front desk and centralized office staff should be told the verified directory information so they can answer member questions or transfer calls correctly.
Original notice
Verify Your Directory Information Every 90 Days
bcbstx.com · Always check the source before changing claims.
Related changes
See all BCBS Texas changes →Verify Your Directory Information Every 90 DaysMediumEffective Aug 17, 2026 · GeneralVerify Your Directory Information Every 90 DaysMediumEffective Feb 19, 2026 · GeneralVerify Your Directory Information Every 90 DaysMediumEffective May 20, 2026 · GeneralVerify Your Directory Information Every 90 DaysMediumEffective Oct 14, 2025 · GeneralBrowse every BCBS Texas change in the policy list