California Healthcare Providers Must Verify Directory Info to Avoid Removal
Following the contract and California Senate Bill 137, the provider is required to verify and update their demographic data to ensure its accuracy. The demographic information includes the location of the office, phone number, hours of operation, and similar information. Should the data be inaccurate, the provider’s information will be removed from the provider directories.
How to verify your demographic data
CAQH
- Existing Users: Access your account by logging into CAQH ProView.
- New Users: Visit CAQH ProView to establish a secure account.
- Additional resources on managing CAQH data are available online.
My Practice Profile
- Roster Management: Providers should directly contact their roster manager to verify, review, and update their information.
- Further details can be found in the My Practice Profile Interactive Guide.
UnitedHealthcare Demographic Change Request Form
Failure to maintain updated directory information may lead to delays in payment or claim reimbursement, as outlined in California Health & Safety Code Section 1367.27(p).
Why It Matters
Accurate provider information helps members find and choose the right care. Most members base their decisions on:
- New patient availability
- Office location
- Services and treatments offered
Some members also consider cultural competencies, such as:
- Specialized training in cultural understanding
- Experience in LGBTQ+ care
- Languages spoken
Need Help?
Providers can connect via chat or explore available support resources.
