Short Takes: New Provider Data Maintenance Tool

Beginning May 1, 2023, professional providers will be required to validate their Highmark Provider Directory information within the new Provider Data Maintenance (PDM) tool in NaviNet® every 90 days. They will no longer receive calls from Atlas or use PRIME, Atlas’ provider data management software, to update information.

The PDM tool will streamline the validation process by providing an easy-to-use electronic application to update, validate, and attest to the accuracy of your directory information in one electronic application. PDM also indicates the last time your directory information was validated and the due date for the next validation deadline.

EXCEPTION: Facility, ancillary, and any Medicaid providers will continue to use Atlas to validate their information as they do today.

To learn more, read the March 27 Special Bulletin .

 

esubscribe