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If information in the Independence provider directory is incorrect, it has
a negative impact on our members. Therefore, it is critical that you regularly
review your demographic information in the provider directory to ensure that
all of the information is accurate.
In compliance with additional guidance issued by the Centers for Medicare &
Medicaid Services (CMS), Independence is working to ensure the accuracy of our
provider directory. To support the success of this important initiative, you
may have recently received a 2017 Provider Demographic Profile for
your review. We ask that you complete and sign your 2017 Provider
Demographic Profile by the due date stated on your profile. If no updates
are required, you must return the signed profile as confirmation that your
information remains accurate.
Impact
If we do not receive your signed profile by the due date stated on
your 2017 Provider Demographic Profile, your information will be
suppressed from the provider directory. Once your signed profile is received,
your information will be updated to display in the directory.
Completing your profile
As you review your profile, we ask that you complete all fields to the best
of your ability. Please note that additional fields not previously included in
past profiles have been added to the demographic profile due to recent
requirements from CMS. These required fields have been identified below and are
marked with an asterisk (*) on the profile.
The following questions MUST be answered or the profile
will NOT be considered a complete response.
For the practice location:
- Is this office location accepting new patients?
- Are patients able to schedule appointments at this office location using
the phone number listed above?
For the practitioner:
- Specialty practiced at this location?
- Sees patients at this location?
- Accepting new patients?
- Accepts Medicare Advantage?
In addition to answering the questions for the practitioners, you must
provide effective dates for adding and deleting practitioners from the
practice.
Once your review and any updates are complete, please sign and date the last
page and then fax the entire profile to Independence at
215-238-7074. You must return a signed and dated demographic
profile even if you don?t have any updates to your practice information.
Review your provider information
regularly
Provider offices should review their demographic information published in
the provider directory on a quarterly basis. You can view your current listing
online using the Find a Doctor tool (i.e., online
provider directory).
Thank you in advance for your participation in this important effort to
ensure that our members have access to the most current information about our
provider network.]