Verify and Update Your Information Online via Availity® Provider Data Management 

February 28, 2022

The Availity Provider Data Management (PDM) tool offers professional providers a quick and easy way to update, validate and attest to the accuracy of their information on file with Blue Cross and Blue Shield of Illinois (BCBSIL). This multi-payer tool in Availity Essentials also allows you to make updates once and have that information sent to all participating payers.

PDM offers two workflows:

  • Directory Verification – You must verify and attest to the accuracy of your organization’s directory information every 90 days as part of the Consolidated Appropriations Act of 2021. You’ll receive quarterly notifications within Availity when it’s time to verify your directory information.
  • Core PDM – Update your organization’s demographic data, provider directory and key staff information. The Directory Verification workflow must be completed before accessing the full provider profile in Core PDM.   

Below is some helpful guidance on PDM updates for BCBSIL.  

Accepted via PDM

Not Accepted via PDM

Doing Business As (DBA) name 

  • Business website URL
  • Provider’s personal information 
  • Service location address change
  • Service location contact information
  • Languages spoken
  • Hours of operation
  • Payment address change and contact information
    		•

    These updates should be requested by completing the appropriate form on the Verify and Update Your Information page of our Provider website:

    • National Provider Identifier (NPI) number or Tax ID number change
    • Business closure
    • New provider or new service location
    • Inactivate a provider or delete a service location
    • Organization’s business name change
    • All facility, laboratory, dental and ancillary* provider demographic and other changes

     

    PDM is accessible to existing Availity Administrators and users assigned the Provider Data Management role. If you’re not an Availity registered user and would like to use this tool, sign up online today or contact Availity Client Services at 800-282-4548.

    For more information, see the PDM user guide on our Provider Tools page.

    *Ancillary includes Durable Medical Equipment, Orthotics and Prosthetics, Home Health Care, Hospice, Home Infusion, Dialysis, Supportive Living Facilities and Skilled Nursing Facilities.

     

    Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.