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Provider Directory: Are You Verified?

March 7, 2024
 

The federal No Surprises Act requires health plans to verify all provider directory data every 90 days and remove unverified providers from their directories.

Premera uses Quest Analytics’ BetterDoctor to verify your provider directory information. BetterDoctor will reach out to you quarterly to confirm or update your information. You must complete a quarterly review to remain listed in our provider directory.

Here’s what you need to know:

  • You must respond to all requests from BetterDoctor to verify information. BetterDoctor may contact you by fax, mail, email, and/or telephone to request a review once a quarter.
  • Providers will be removed from the directory if they haven’t responded to outreach in the previous 180 days. We’ll be removing non-responsive, unverified providers on a recurring basis.
  • If you’re removed from our directory, contact BetterDoctor to restore your listing. You can email support@betterdoctor.com or call 844-668-2543, Monday through Friday, 7 a.m. to 3 p.m. Pacific Time.
  • As soon as your data is verified, we can add you back into the directory.

For additional Premera directory questions, call provider customer service at 877-342-5258, option 1, from 6 a.m. to 5 p.m., Pacific Time, Monday through Friday.