It can be extremely difficult for new patients to learn about your practice… if you’re not listed correctly in the Highmark Provider Directory.
With Open Enrollment underway throughout Highmark’s six regions, you want to ensure that your provider information is accurate. Validating your information helps both new and current Highmark members to find and evaluate your practice when selecting a health care provider for 2023.
For example, if your address is incorrect, prospective patients may think your practice isn’t close to their home or work, and then opt for another provider.
Every quarter, we are required by the Centers for Medicare & Medicaid Services (CMS) to ask you to validate your information and make sure it is correct. This review process is quick and easy through our partner Atlas:
If you need additional information, Atlas’ step-by-step guide is now on the Provider Resource Center. From the left navigation panel, select PROVIDER TRAINING, and then click on Provider Training. You will find the guide under the PROVIDER QUARTERLY OUTREACH header.
Per the No Surprises Act, providers who do not validate their information every 90 days may be removed from the Highmark Provider Directory. Once removed, new and current members will not see your office name; providers affiliated with your office; or your office address or phone number when searching for an in-network doctor.
By ensuring your information is accurate, you will enable new and current patients to easily find your practice in Highmark’s Provider Directory.