March 9, 2017
Health plans are committed to making accurate and up-to-date provider directory information available to consumers. Collaboration amongst plans, and the industry more broadly, is important in finding a solution.
Between April and September 2016, AHIP worked with two vendors to contact over 160,000 providers, testing different ways to coordinate with them to update key directory data.
Maintaining accurate provider directories is a shared responsibility that requires a joint commitment from health plans and providers to ensure consumers and patients have the information they need and the information is updated in a timely and accurate fashion.
Provider directories are comprehensive listings of the physicians and other clinicians, facilities (e.g., hospitals), and pharmacies that are contracted with a health plan to provide services to their enrollees. These directories, which are usually posted online and in a searchable format, are a valuable resource for individuals and their families. Information such as provider address, phone number, and specialty are typically included in the directory.