Keeping Your Practice Information Current— New!
Staying In-Network—HealthNet/Humana/Western Health Advantage/Care More
Are you in Compliance?
The California Orthopaedic Association has received inquiries from its members about the validity of requests from third party entities asking them to update/validate their practice information with insurance carriers with whom they are contracted. Most recently, COA received inquiries regarding “BetterDoctor.”
Are these requests valid?
Yes, they may very well be. If you do not respond, you could have your payments delayed or be deleted from the network.
“BetterDoctor” is currently partnered with and conducting outreach programs for Humana, Western Health Advantage, Care More, and Health Net health plans.
How can BetterDoctor help you stay compliant with state law? SB 137 mandates that health plans reach out to their contract providers twice a year to gather updated provider and practice information. Providers are also required to keep their information current with the health plans with whom they are contracted.
