Updates and Reminders
Published November 4, 2021
The Federal No Surprises Act is taking effect January 1, 2022, bringing new requirements for health plans and providers regarding provider directory information. While full guidance from the government is forthcoming, we’re now using a good faith approach
to put processes and procedures in place to maintain an accurate and up-to-date online directory.
Here’s a brief overview to help you understand and prepare for the provider directory requirements in the No Surprises Act.
90-Day Rule
Premera is required to verify the accuracy of your provider or facility information in our directory at least every 90 days. We’ll ask to verify your data—name, address, specialty, telephone number, and digital contact—through attestations and
change submissions every 90 days.
If your provider data can’t be verified 180 days after the last verification date, we’ll remove you in our online provider directory. Once the data is verified, you’ll be added back into the directory.
All directory changes will occur within 2 business days of submittal.
Verification with Better
Doctor
To streamline the verification process for you, we’ll be moving to the BetterDoctor online portal from Quest Analytics. You’ll be receiving more information from Quest Analytics/BetterDoctor in the next few weeks, with verification through BetterDoctor
beginning before the end of 2021.
If you haven’t received information from Quest Analytics/BetterDoctor and you’d like to update your provider directory information now, you can email
us a completed provider update form
Learn More
We’ll be continuing to communicate about the No Surprises Act in future issues of Provider News. If you’re looking more information, the following resources are available to you now: