To Practice Manager or Credentialing Department:

Community Health Plan of Washington (CHPW) appreciates the valued services that your clinic/facility provides to our members.

As a health plan, we are committed to regularly reviewing our provider directory for our Medicare and Medicaid (Washington Apple Health and Integrated Managed Care) products to ensure the quality and accuracy of the information in the directory.

We need your help. This is to request your current/updated information as part of your participation with CHPW.

We will send you a standard roster with the provider details we have on file for you. The roster includes practice details such as Tax ID, NPI, Licensure, Specialty, office location addresses, phone numbers, office hours, whether you are accepting new patients, etc. We also need to verify demographic information such as ADA access; any additional languages spoken by staff other than English; gender or age restrictions. All practice locations where your providers render services under your agreement should be included in the roster. Please continue reading for answers to frequently asked questions along with a key to define each requested data element.

When you receive your roster, please review for accuracy, highlight any changes, and return the roster to provider.changes@chpw.org. Going forward, please submit any additions, changes, or terminations immediately to CHPW via our Provider Add Change Term (PACT) Form or Clinic and Group Change Term Form. Both forms are available on the Provider Forms and Tool page of our website: https://www.chpw.org/for-providers/documents-and-tools/.

CHPW appreciates your time in partnering with us to ensure our directory is up to date and accurate. Feel free to reach out to our Provider Data Specialists at provider.changes@chpw.org for questions.

Thank You,

Provider Data Services, Community Health Plan of Washington

FAQ

Why am I being contacted?

You are being contacted by CHPW as we have you on file as a contracted provider for our Medicare or Medicaid business. This request is to verify that the information we have in our plan provider directory is accurate and up to date.

How is my information going to be used and will it be protected?

CHPW uses your information to populate our provider directory. Members and prospective members use the directory to locate a provider in our network.

We also use provider data for the purpose of claims payment.

Yes, your information is protected.

What happens if I don’t verify?

This verification is requested as part of your participation agreement with CHPW. If we don’t hear back from you after the first request, we will send you a second and third request by phone, fax, email and/or postal mailing. Inaccurate information in the provider directory may cause member frustration. After we receive your verification, we will make sure that your information is correct in the directory.

Can I change my communication preference?

Yes. If you prefer to receive this notice in a method other than email (for example, via phone, fax, etc.), contact us at provider.changes@chpw.org.

Can I change my information at any time?

Yes. Here is a link to CHPW’s provider directory, Find A Doctor: http://chpw.org/provider-search/. If you find any information for your practice that is outdated or incorrect, please update your roster accordingly and return to provider.changes@chpw.org.

What information needs to be verified?

We are asking you to verify or update information including practice contact details that patients use to make appointments, such as the best phone number and your office hours; demographic information about yourself, including confirmation of your medical license or credentials; information about your office’s ADA accessibility; the insurance products you accept; and whether or not you are accepting new patients.

Find the descriptions of each column on the roster in this document.

 

We thank you in advance for your assistance in providing clear and accurate provider information.