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Understanding Provider Directory Requirements for the No Surprises Act

As Blue Cross and Blue Shield of Kansas (BCBSKS) has previously communicated with you, the Consolidated Appropriations Act (CAA) outlines new requirements for maintaining and validating information to include in provider directories (CAA Section 116). The intent of these requirements is to help individuals make informed choices when selecting a provider.

To comply with these new CAA provisions, insurers must develop a process to verify provider directory accuracy. Effective Jan. 1, 2022, CAA requires that BCBSKS provide and regularly maintain an online provider directory to members. Providers must validate their information at least every 90 days through the provider portal. The directories must be available to participants, beneficiaries, and enrollees.

BCBSKS would like to add that if your provider data can’t be verified 180 days after the last attestation date, we will be required to suppress your information in our online provider directory. Once the data is verified, you’ll be added back into the directory. All directory changes will occur within two business days of submittal.

If you have questions regarding this newsletter, please contact your BCBSKS Institutional Provider Consultant.