Verify your Find A Doc listing with BetterDoctor

Starting this fall, we're working with BetterDoctor to verify the information in our Find A Doc database, to help our members quickly get the care they need when they need it.

What is BetterDoctor?

BetterDoctor, part of Quest Analytics Accuracy, helps health plans improve the flow and quality of accurate provider data.

Why is BetterDoctor contacting me?

The Centers for Medicare and Medicaid Services (CMS) requires health plans to verify provider information quarterly to avoid misdirecting members. BetterDoctor is reaching out to our provider network on our behalf to help us ensure our provider directory – Find A Doc – is as accurate as possible.

What if I already verified my information through CAQH?

We use your CAQH attestation to maintain your credentialing information in our internal records. However, we don’t use it to update our member-facing provider directory, Find A Doc. That is done through your verification with BetterDoctor and updates in prism.

What information does BetterDoctor need me to verify?

  • Organization Tax ID / TIN*
  • Group or Type 2 NPI*
  • Individual provider NPI*
  • Provider first and last name
  • Provider specialty or specialties
  • Practice name
  • Practice email
  • Practice website
  • Practice address, including street, city, state and zip
  • Practice appointment phone number
  • Accepting new patients (Y / N)
  • Publish in directory (Y / N)+

*For administrative purposes only

+Mark “N” for practitioners who may be listed at locations primarily for billing/credentialing purposes but don’t routinely see patients or accept patients there

How does BetterDoctor’s provider data verification tool work?

  1. We send our provider roster to BetterDoctor.
  2. BetterDoctor contacts you via email and/or fax to verify your information. You’ll receive a web address and an access token – an 8-digit alphanumerical code like ABC123D4, which isn’t case sensitive.
  3. You complete your attestation online.

What should I do if my information is incorrect?

Attest through BetterDoctor, then submit any changes needed through your Priority Health prism account or the Delegation SharePoint Site. Find more information on reporting provider changes. We'll send you a reminder notice to submit your changes if you attest with any updated information.

Why is my access token not working?

Double check the date you received the code. Codes are only active during the current quarter: January-March, April-June, July-September and October-December. If you’re certain your code is active, refresh your browser and try entering it again.

What if I don’t see my board listed in the BetterDoctor verification tool?

Email validation@betterdoctor.com and let them know.

What if I don’t see my license type in the online form?

Email support@betterdoctor.com to let them know.

Can I edit my submission after I completed my verification in the online tool?

Unfortunately, no. Make sure the information you’ve entered is correct before submitting.

Have questions or need help with your attestation?

Email support@betterdoctor.com.