WHAT YOU NEED TO KNOW.

What is BetterDoctor?

BetterDoctor is a division of Quest Analytics, LLC. We supply provider network services to more than 425 national and regional health plans, the Centers for Medicare and Medicaid Services, and numerous state regulatory bodies. Most of the provider and practice information we receive is coming from our 425+ health plan clients. When you validate using our online portal, you assist health plans in complying with state and federal regulations, help keep provider directories up-to-date so patients can find you, and streamline health plan internal functions such as provider network recruitment.

Why am I being asked to verify my information?

We reach out to healthcare practitioners like you on behalf of our healthcare payer sponsors because healthcare regulations have made it a top priority to ensure healthcare provider directories are staying current every 90 days. BetterDoctor is a part of Quest Analytics whose mission is to provide health plans with insights about their networks so that they can make better decisions on how they provide access to care to individuals across the nation.

We work with more than 425 health plans (including all eight of the nation’s largest), The Centers for Medicare and Medicaid Services (CMS), multiple state regulatory agencies, and many of the nation’s leading health systems.

How often am I required to verify my information?

With the new No Surprises Act, which became effective in January 2022, providers are required to attest information that is published in health plan directories every 90 days for all Commercial plans. During each 90-day period, once you have validated your data, we will remove you from all scheduled reminders for the remainder of the period.

What happens if I don't verify my information?

Many healthcare payers are implementing policies to ensure that their contracted network providers are validating their information every 90 days. Failure to verify your information may result in any of the following corrective remedies: removal from health plan print or online directories, delay of payments, or, for a repeated pattern of non-responsiveness, termination of health plan participation agreements.

Do you sell the data?

No, we do not sell the information that you verify. Instead, we are contracted by Health Plans to validate the accuracy of their provider network displayed on their provider directory. The data is provided to BetterDoctor to validate and determine accuracy.

How will my information be used?

We reach out to healthcare practitioners like you on behalf of our healthcare payer sponsors every 90 days because healthcare regulations have made it a top priority to ensure healthcare provider directories are staying current. The data you verify will be securely shared with participating health plans to update provider directories.

Why are accurate provider directories important to consumers and health plan enrollees?

Health plan enrollees need accurate information about which providers and facilities they can access in-network. Consumers need accurate information about the providers and facilities that are in health plan provider networks when shopping for coverage.

What if nothing has changed since my last attestation?

Even if none of your information has changed, our contracted payer sponsors require providers to attest information that is published in health plan directories every 90 days for all Commercial plans.

What if I am not the correct point of contact?

If you know the contact information for the person to whom we should reach out, please let us know by emailing support@betterdoctor.com.

What if I already validated directly with my health plan or a through a different service?

Our sponsored payer clients are contracting with BetterDoctor to ensure that you validate utilizing our online portal to meet their requirements. Please contact your sponsored payer for additional clarification on their requirements.

Where can I get an access code?

You may have received communication directly from your sponsored payer about outreach. Please note, we will contact you no later than 30 days prior to your next attestation due date and provide you with your access code.

If you have misplaced your access code – we will be contacting you again within the next week and provide you with the access code. Please add BetterDoctor to your safe sender list to ensure our outreach requests do not end up in your spam.

How do I make changes to a submitted form?

To make changes to a validation you completed in the current 90-day cycle, you can reaccess the portal using the link and the access code provided to you in our email, fax, and/or direct mail outreach.

Still have questions?

We’re happy to help you with the validation process, guide you through provider data regulations or answer any of your questions. Please visit our Help Center to find more answers or to contact support.

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