Provider Directory Verification Through BetterDoctor®
Provider Directory Verification Through BetterDoctor®
Maintaining accurate provider directory information is essential for helping members access care and for meeting federal regulatory requirements. The No Surprises Act requires health plans to verify provider directory information at least every 90 days. Keeping your information current helps ensure members can easily find and connect with you, reducing barriers to care.
To support this effort, Health Choice Utah partners with BetterDoctor® by Quest Analytics® to collect and verify provider directory information.
What You Need to Know
- Every 90 days, BetterDoctor may contact your office by email, fax, mail, and/or telephone to verify provider directory information through the BetterDoctor online verification portal.
- For larger provider groups and health systems, BetterDoctor may establish a roster-based verification process.
- When contacted, please review your information and do one of the following:
- Attest that the information is accurate, or
- Submit any necessary updates or corrections.
- BetterDoctor will securely transmit your attestation or updates to Health Choice Utah for processing and system updates.
Common Provider Directory Updates
The most common discrepancies identified during verification include:
- A practitioner no longer practices at the listed location.
- A practitioner is no longer accepting new patients.
- The listed phone number is incorrect, disconnected, or is not the appropriate scheduling number.
- Office hours, specialties, or location information have changed.
- Telehealth availability is not accurately reflected.
Why Accurate Information Matters
Accurate provider directory information helps:
- Members find in-network providers quickly and easily.
- Reduce delays in accessing care.
- Improve the member experience.
- Ensure compliance with federal provider directory requirements.
Resources
Health Choice Utah Network Services
📧 providers@healthchoiceutah.com
📞 877-358-8797 or 801-646-7200
BetterDoctor by Quest Analytics
Frequently Asked Questions and Provider Support Resources
Thank You
We appreciate your partnership in maintaining accurate provider information. Promptly responding to BetterDoctor verification requests helps ensure our members have access to reliable provider directory information and can connect with the care they need.