90-Day Provider Data Attestation Reminder – Availity Essentials (Effective January 1, 2026)

02/05/2026

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 

All contracted care providers must attest to their demographic data every 90 days using the PDM capability available on Availity Essentials. This requirement applies to provider and facility information, including addresses, phone numbers, specialties, panel status, and other directory-listed data. 


How to Update and Attest Your Data 

Availity Essentials offers two no-cost options for updating and attesting provider data: 


Option 1: Multipayer Platform 

  • Includes Directory Verification and Core PDM 
  • Allows providers to make required updates using Directory Verification 
  • Enables changes through Core PDM 
  • Provides real-time monitoring of submitted demographic updates 
  • Offers access to the history of previously verified data 


Option 2: Roster Upload 

  • Allows submission of multiple updates within one spreadsheet 
  • Uses the Upload Roster feature for bulk updates 
  • Currently shared only with the health plan 

Both options satisfy the 90-day attestation requirement. 


Step-by-Step Attestation Process 

  1. Log in to https://Availity.com 
  2. Navigate to My Providers > Provider Data Management 
  3. Select the action menu next to the business whose information you want to verify 
  4. Select "Verify Directory Listing" 
  5. Review each set of data for accuracy 
  6. Once complete, select "Submit Verified Profile" 

Quick Verify Option: Organizations with no changes since their last submission may see a Quick Verify button that allows directory verification in one click. 


Automated Reminders 

Individuals registered for their TIN within the Availity Manage My Organization application will receive: 

  • Periodic automated emails when attestation is due or overdue 
  • Notifications in the Notification Center on Availity Essentials 


Accessing Availity Essentials and PDM 

To access the PDM application: 

  1. Log on to https://Availity.com 
  2. Select My Providers > Provider Data Management 


User Access: 

  • Administrators are automatically granted PDM access 
  • Additional staff may be given access by an administrator 
  • To find your administrator: Go to My Account Dashboard > My Account > Organization(s) > Administrator Information 


New to Availity Essentials? 

If you aren't registered yet, signing up is easy, secure, and free: 

  1. Go to https://Availity.com 
  2. Select "New to Availity? Get Started" at the top of the home screen 
  3. Complete the registration process 
  4. If you have multiple TINs, ensure all are registered 

For registration questions, contact Availity Client Services at 800-AVAILITY (282-4548). 


Training Resources 

Availity Essentials provides comprehensive training on the PDM tool: 

  • Quick Start Guide: Available at apps.availity.com (login required) 
  • Roster Upload Process: Access the Roster Submission Guide via Availity.com > Payer Spaces > Select Payer Tile > Resources > Roster Submission Guide using PDM 
  • Standard Template Training: Listen to recorded webinars on the Provider Learning Hub 
  • On-Demand Classes: Take PDM courses hosted by Availity Essentials on the Learning Hub 


Special Requirements for Behavioral Health Providers 


Carelon Behavioral Health Providers: 

  • Follow the Carelon Behavioral Health process for attestation 


CAQH Providers: 

  • Attest, confirm, or update data through the CAQH website 


Non-CAQH Behavioral Health Providers and Facilities: 

  • Attest, confirm, or update data directly with Carelon Behavioral Health 


Getting Support 

Availity Chat with Payer: 

  • Available during normal business hours 
  • Get answers about eligibility, benefits, authorizations, claims status, and more 
  • Access through https://Availity.com > select appropriate payer space tile > Chat with Payer 
  • Complete pre-chat form to start your chat 

Additional Support: Visit the Contact Us section of your health plan's provider website for appropriate contact information. 


Action Required 

All providers should: 


  1. Log in to Availity Essentials immediately 
  2. Review current demographic data for accuracy 
  3. Submit attestation or updates as needed 
  4. Set calendar reminders for 90-day attestation cycles 
  5. Ensure all staff who manage provider data have appropriate access to PDM 
  6. Register for Availity Essentials if not already enrolled 

Maintaining compliance with the 90-day attestation requirement protects your directory listing and ensures members can access your services without interruption. 

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