News
California Health & Wellness to Use Verify Health Care Portal to Conduct Provider Data Verification
Date: 11/13/18
Accurate provider information allows for timely access to care for members
California Health & Wellness Plan (CHWP) is sending this communication to inform its directly contracting practitioners that we are using Verify Health Care Portal (VerifyHCP), a collaborative solution created by LexisNexis® Risk Solutions and AMA Business Solutions, a wholly-owned subsidiary of the American Medical Association, to conduct its biannual outreach to comply with Health and Safety Code (HSC), section 1367.27 and California Insurance Code, section 10133.15. VerifyHCP was developed to streamline outreach to practices by allowing them to update information once on behalf of any participating plan.
Outdated practitioner information can create barriers to timely access to care for members. It’s important for CHWP’s contracting practitioners to regularly validate that their information is current and to provide timely responses to the required biannual outreach requests to confirm or update their information. Practitioners that are nonresponsive to these requests will be removed from the plan’s directories, and could also experience a delay of payment or reimbursement of a claim.
PRACTITIONER OUTREACH
Outreach to confirm and update directory information will begin on November 26, 2018. Several outreach methods will be used, including email, fax and phone, with email being the primary method.
Practitioners will be directed to register and log in to VerifyHCP to confirm that their provider directory information on file is accurate. VerifyHCP is a secure, free website for practitioners and their staff to use to confirm directory information, as required by the Centers for Medicare & Medicaid Services (CMS) and various state laws.
CHWP’s goal is to make this process as easy as possible for its practitioners and to receive responses on 100 percent of the requests.
ADDITIONAL INFORMATION
If you have questions regarding the information contained in this update, contact your Provider Relations representative or call 1-877-658-0305.