BetterDoctor’s State-by-State Provider Directory Requirements Guide

Today, consumers rely on provider directories to choose the care they need. Updating inaccurate provider data is no easy task. Multiple stakeholders — from providers and provider groups to health plans — are involved to make sure that consumers are getting the information they need from provider directories.

To improve the quality of data in provider directories, states across the nation have implemented and enforced laws to help keep provider directories updated for consumers. We at BetterDoctor understand the challenge and importance of this, so we bring you a provider directory requirement guide.

We divide states into three tiers:

  1. Has the strictest provider directory requirements
  2. Has some requirement guidance, but is not very specific
  3. Has ambiguous guidance

States like California, Maryland, and Georgia—where they have passed entire state bills focused on provider directories—have some of the strictest requirements in the country. Other states, like Florida and Pennsylvania, have strict provider directory requirements as part of broader laws to protect consumers from balanced billing; Surprise Medical Bills. Others have yet to offer specific provider directory requirement guidance. 

In the infographic below, you can see what requirements are across the country, along with a list of commonly required provider directory attributes.

We also feature three state bills that focus primarily on provider directory accuracy:

  1. California passed SB-137 on October 15, 2016.
  2. Maryland passed SB-929 on April 26, 2016.
  3. Georgia passed SB-302 on April 26, 2016.

To learn more, email press@betterdoctor.com.

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