Reminder: Provider Data Attestation Requirements 

Effective: January 1, 2026. Applies to: Commercial / Medicare Advantage / Medicaid Providers 

Healthcare providers contracted with health plans are required to verify and update their demographic data every 90 days using the Provider Data Management (PDM) feature in Availity Essentials. Noncompliance with these attestation requirements can result in removal from the online provider directory. 

Why Provider Data Attestation Matters 

Maintaining accurate provider demographic data is critical for several key reasons: 

• Member Access: Ensures members can find and connect with providers when seeking care 

• Claims Processing: Supports accurate and efficient claims processing 

• Timely Reimbursement: Enables prompt payment for services rendered 

• Directory Accuracy: Keeps online provider directories current and reliable for members using Find Care tools 

Failure to complete the 90-day attestation requirement may classify your organization as non-compliant with health plan policies and could result in removal from the online provider directory. 

Attestation Requirements