Reminder: 90-Day Provider Validation Requirements

Provider demographic data can change frequently throughout the year and in our networks. To ensure our members know where to find the right physicians or facilities for the care they need, it is vital that we validate the accuracy of their contact information regularly.

As a reminder, on Jan. 1, 2022, the Consolidated Appropriations Act (CAA) required providers to verify or update their demographic data at least every 90 days. If more than 90 days has passed since the provider’s last validation, we must suppress them from our directories.

Use M.D. Checkup, located in My Insurance Manager℠ (MIM), to validate your demographic data. Validations are determined based on the number of days since the provider’s last validation. To perform the validation, do the following:

1. Log into MIM.
2. In the purple box labeled “Provider Validation,” select Validate Now.
3. For each location with a status of “Verification Required,” select View & Edit.
4. Review and edit (if needed) the information, then select Verify.

To update suppressed locations due to missing the 90-day validation period, do the following:

1. Log into MIM.
2. In the purple box labeled “Provider Validation,” select Validate Now.
3. For each location with a status of “Suppressed from Directories,” select View & Edit.
4. Review and edit (if needed) the information, then select Verify.

We receive the provider’s data automatically once validated in MIM and update our directories.

If you have any questions about this bulletin, please contact Provider Education at Provider.Education@bcbssc.com or call 803-264-4730.