Your information will be updated with the health plans you contract with:
All health plans are required (by law) to verify your info.
This means you will be contacted. A lot.
BetterDoctor eases the administrative burden by centralizing the collection of provider data and sharing it with multiple health plans.
The old way
The new way
Reduce the headache.
Verify your information
Update your provider information in one place.
Verify your information and become regulation-compliant in just 4 minutes.
To make it easier for you to get compliant, we serve as a single point of contact on behalf of multiple health plans. So, instead of updating your information with multiple companies, you can tell us—and we’ll tell them.
Why is this happening? To help patients avoid accidental out-of-network visits, 27 states have now implemented laws that mandate providers update their information with health plans regularly.
At BetterDoctor, we know how time-consuming and frustrating it is to try and stay compliant with new regulations just so you can accept insurance. We want to leave you time for your real business: taking care of patients.
BetterDoctor helps doctors.
Ensure your practice abides by new provider directory laws. Don’t risk delayed payments or contract termination.
Save time and easily report changes to health plans using BetterDoctor’s online self-reporting tool. Validation has never been easier.
Just because you have to update your information with all your networked health plans, doesn’t mean you can’t do it all at once.
Become compliant today. Verify your information.Verify your information
Frequently Asked QuestionsWhat you need to know.
Why am I being asked to verify my information?
New rules require you to verify information about yourself and your practice with each health plan you contract with. We work with 16 different health plans, including Humana and all the plans participating in the Washington health benefits exhange.
Current Federal Requirements:
- Medicare Advantage Standards
- Exchange/Marketplace (Machine Readable Standards)
- Medicaid Managed Care
State Regulations (California):
- California’s Senate Bill 137
- California Department of Insurance (CDI)’s Network
Why is BetterDoctor reaching out to providers to validate their information?
BetterDoctor contacts providers on behalf of health plans to help fix provider directories so consumers can find the latest, most up to date information. This fax directs providers to an online portal where they can securely update their information ... Read more
How often am I required to verify my information?
Under Medicare Advantage rules, health plans are required to reach out to providers quarterly. Under CA SB-137, health plans are required to reach out to providers at least once every six months. Health plans have partnered with BetterDoctor to simplify the process with California and Indiana health plans. However, you should also expect other health plans that are not affiliated with our effort to reach out to you. Please respond to all verification requests from all vendors or health plans.
How will my information be used?
The data you verify will be securely shared with participating health plans to update provider directories.
What are the consequences of not complying with Senate Bill 137?
Failure to verify your information may result in any of the following corrective remedies: removal from health plan print or online directories, delay of payments, or, for a repeated pattern of non-responsiveness, termination of health plan participation agreements.
Why are accurate provider directories important to consumers and health plan enrollees?
Health plan enrollees need accurate information about which providers and facilities they can visit in-network. Consumers need accurate information about the providers and facilities that are in health plan provider networks when shopping for coverage.
Have more questions about provider directories?
Still have questions?
We're happy to help you with the validation process, guide you through provider data regulations or answer any of your questions. Please visit our Help Center to find more answers or to contact support.