Provider Data Validation

03/03/2022

The Centers for Medicare & Medicaid Services requires ConnectiCare to perform provider data validations to ensure our Provider Directory maintains current and accurate information. Beginning March 2022, Atlas Systems, a third-party vendor, will manage the process for us by:

  • Contacting directory-listed providers semi-annually by fax, email, or telephone.
  • Conducting a review of their directory-listing data.
  • Obtaining attestation to the accuracy and submitting changes to correct inaccuracies.

Providers will also have the option to access Atlas Systems’ PRIME-Hub to validate their information within a specified time frame. This is the preferred and fastest method of attestation, in lieu of completing the validation over the phone with an Atlas representative. An accurate directory helps ensure our members can find you.

 

As a reminder, you can update your directory information on our secure provider portal at any time. Alternately, you can use the Provider Demographic Change Form to submit timely notification of changes to keep our Provider Directory up to date. 

 

 

JP# 57237 3/2022