Don't Forget Your 90-Day Validations
Nov. 14, 2025
Provider demographic data can change frequently throughout the year within your practice and within our networks. To ensure our members know how to find the right physicians or facilities for the care they need, it is important that we validate the accuracy of our provider directories.
As a reminder, on Jan. 1, 2022, the Consolidated Appropriations Act (CAA) required providers to verify or update their demographic data at least every 90 days. If more than 90 days has passed since the provider’s last validation, we must suppress them from our directories.
You can use M.D. Checkup in My Insurance Manager℠ (MIM), to validate your demographic data. Validations are determined based on the number of days since the provider’s last validation. To perform the validation, do the following:
- Log into MIM.
- In the purple box labeled “Provider Validation,” select Validate Now.
- For each location with a status of “Verification Required,” select View & Edit.
- Review and edit (if needed) the information, then select Verify.
To update suppressed locations due to missing the 90-day validation period, do the following:
- Log into MIM.
- In the purple box labeled “Provider Validation,” select Validate Now.
- For each location with a status of “Suppressed from Directories,” select View & Edit.
- Review and edit (if needed) the information, then select Verify.
We receive the provider’s data automatically once validated in MIM and update our directories within two business days.
If you have any questions about this bulletin, please feel free to contact your Provider Relations Consultant.