Fact Based List:

MA Health Plan Provider Directory Error Deficiencies in Order of Prevalence

Submitted by Anonymous on Wed, 03/28/2018 - 13:30


  1. Provider should not be listed in the directory at this location (41.05%)
  2. Provider should not be listed at any of the directory-indicated locations (19.41%)
  3. Phone number needs to be updated (18.93%)
  4. Address needs to be updated (6.22%)
  5. Provider IS accepting new patients (4.77%)
  6. Address (suite number) needs to be updated (4.31%)
  7. Provider is NOT accepting new patients (4.20%)
  8. Specialty needs to be updated (0.90%)
  9. Provider name needs to be updated (0.22%)
  10. Provider should not be listed in the directory as treating patients for this specialty (0.01%)


Source: CMS Online Provider Directory Review Report Jan 19, 2018
Source URL: https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketi...



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