Tip for Directory Correction (insurer-specific)

Take a screenshot of the directory listing BEFORE contacting the insurer — this is your evidence

Tip for Directory Correction (insurer-specific)

Under many state laws and the No Surprises Act, you should not be penalized for relying on inaccurate directory information

Tip for Directory Correction (insurer-specific)

File a separate claim dispute or balance billing dispute if you were billed at out-of-network rates due to the directory error

Insuranceeasy

Provider Directory Correction Request

Directory Correction (insurer-specific) · Health Insurance Plans

Request to correct inaccurate provider directory information, such as a doctor listed as in-network who is actually out-of-network, or incorrect contact information. May support a claim dispute or balance billing complaint.

Form Details

Total fields: 8
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Where to Submit This Form

🌐

Submit through the insurer's member portal or directory feedback form

📬

Mail to the insurer's provider relations or member services department

📠

Fax to the insurer's provider relations department

Filing Deadline

No deadline, but submit promptly to support any related claim disputes or balance billing complaints.

Required Attachments

📎 Screenshot of the incorrect directory listing
📎 Documentation from the provider confirming their actual network status
📎 Any related bills or EOBs affected by the directory error

Processing Time

Directory corrections typically take 2-4 weeks. Claim disputes related to directory errors may take 30-60 days.

What Happens Next

The insurer will investigate and update the directory if an error is confirmed. If you received out-of-network bills based on inaccurate directory information, you may be entitled to in-network cost-sharing.

Tips for This Form

✓ Take a screenshot of the directory listing BEFORE contacting the insurer — this is your evidence
✓ Under many state laws and the No Surprises Act, you should not be penalized for relying on inaccurate directory information
✓ File a separate claim dispute or balance billing dispute if you were billed at out-of-network rates due to the directory error
✓ Report the error to your state DOI as well — patterns of directory inaccuracy can trigger regulatory action

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Health Insurance Plans or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.