Blue Cross has partnered with LexisNexis® Risk Solutions, an independent company, to confirm and verify information for their provider directory. LexisNexis’ VerifyHCP® allows practices to validate or update their information in one place for all participating health plans.
Updated practice information allows BCBS to provide patients with current directory information so they can select network providers, choose health plans and ultimately access care. Clinicians who do not respond to verification requests may face delayed claim reimbursements and removal from provider directories.
Outreach to confirm and update directory information will begin December 15, 2021. Several outreach methods will be used including email, fax, and phone, with email being the primary method.
Clinicians and practices will be directed to register and log in to the Verify Health Care Portal to confirm their directory information is accurate. The portal is a secure, free website used by clinicians and their staff to confirm directory information, as required by CMS and various state laws.
If you have further questions, email [email protected].
Reminder: Recredentialing Required for Network Participation
Blue Cross and Blue Shield of Alabama is accredited by the National Committee for Quality Assurance (NCQA), a separate national accreditation entity. As required by the NCQA, contracted providers must be recredentialed with Blue Cross every three years to continue participation in our provider networks. Reminders are sent to providers via certified mail when it is time to be recredentialed. Contracted providers must be recredentialed with Blue Cross within three years to continue participation in our provider network(s).