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BCBS OklahomaAll Plans · Administrative · General · OKLow impact

Verify Your Directory Information Every 90 Days

Effective date
Not stated in the notice
Identified
Nov 7, 2026

Previous versions

Summary

Blue Cross and Blue Shield of Oklahoma published a November 6, 2026 notice that federal law requires provider directory information (name, address, phone, specialty, digital contact information) to be verified every 90 days, even without changes. Practices can verify through the Qualified Health Plans directory, Availity Essentials Provider Data Management, or the Demographic Change Form, and must update changes with the payer, the CAQH Provider Data Portal, and the NPPES NPI Registry.

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What to do

Action · 5 steps
01Billing team and office manager: Set a recurring 90-day reminder to verify practice locations, phone, specialty, new-patient appointment availability and in-network status with BCBSOK, using the QHP directory, Availity Provider Data Management, or the Demographic Change Form.
02Medical groups contracted as Type 2 should submit their provider roster to verify all providers every 90 days.
03When any information changes, update BCBSOK, the CAQH Provider Data Portal and the NPI Registry.
04To terminate an individual provider from a group, use the Demographic Change Form with 'Remove Provider from Group/Location', not Availity.
05Front desk and centralized office staff should be given the current directory information so they can answer member questions or transfer members correctly.

Original notice

Verify Your Directory Information Every 90 Days
bcbsok.com · Always check the source before changing claims.
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