News
19-972 Update Your Demographic Information
Date: 12/30/19
Update Your Demographic
Information
AVOID BEING REMOVED FROM THE PROVIDER DIRECTORIES
Keep your office information current! This lets California
Health & Wellness Plan (CHWP) members reach you to schedule
appointments or select you as their provider. Be sure to validate
your demographic information each month so it’s correct on the
provider website at www.CAHealthWellness.com.
Go online or call to change your office information
Online Complete the online form on the provider website at
www.CAHealthWellness.com under
Provider > Resources > Provider Data Reporting. You must
have Update Provider Information privileges to update and
submit changes online.
Call: Reach out to your provider relations representative.
Required time frames:
30 days prior - Any changes to your demographic information.
5 days prior - Change to your status of accepting new patients. You can
notify CHWP or the independent practice association (IPA).
Providers contracting through an IPA must notify the IPA directly of changes, and
the IPA notifies CHWP. (continued)
CHWurlplaceholder.com
CAHealthWellness.com
Reply to calls and letters
You may receive an email, fax or telephone call once or more each year asking you to validate your demographics. You must respond to avoid from being removed, in most cases, from the provider directory.
CHWP or a regulator may contact you
Please respond timely to requests from CHWP or a regulator about the status of your contract and demographic information. Be sure to have an administrator or member of your team who is familiar with your contract details respond to these requests.
LexisNexis®
CHWP uses LexisNexis® Risk Solutions to validate data information twice a year for direct network providers. Providers who receive a request from LexisNexis by email, fax or telephone should respond timely to their request. If you do not manage the direct contract, reply to let them know the correct contact responsible for the direct contract.
Forgot password or need help accessing the portal?
Email verifyhealthcareportal@lexisnexisrisk.com, or
Contact LexisNexis Risk Solutions Tech Support at
https://healthcare.custhelp.com/app/ask (Include your National Provider Identifier (NPI) or an NPI you manage, and email address. Instructions will be mailed to you on how to access the portal.)
Questions?
Call 1-888-245-4619
IPA requirements
IPAs must have policies in place that establish and implement processes to collect, maintain and submit their provider demographic changes to CHWP on a real-time basis. Real time is within 30 days, as defined by the Centers for Medicare & Medicaid Services (CMS). CHWP conducts random audits of IPAs to validate processes and policies to ensure they are maintaining provider demographic information on a regular basis.
19-972/FLY037492EH00 (12/19)
Questions
Please contact CHWP at 1-877-658-0305 with any questions about the information in this flyer.