Provider Directory Validation
Posted on January 8, 2019
Attention Practice Managers:
Accurate provider/pharmacy directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all of our products. In addition, hard copies of each directory are available upon request.
In an effort to support both CMS and NCQA requirements, we reach out to our in-network providers on a quarterly basis to validate information. We are asking for validation of at least the following information: address, phone number, office hours and availability to new patients.
Please communicate any updates to Health New England in one of the following ways:
• Visit our Forms library at healthnewengland.org/forms. Click on the ‘Provider’ tab, then ‘Most Used’ and choose the ‘Provider Information Change Form.’
• Email our Provider Enrollment team directly at firstname.lastname@example.org.
Log into HNEDirect at hnedirect.com. Once logged in, click the last tab on the main page titled ‘Change Provider Info.’