Inconsistencies found in 81% of Provider Directories Across Large Health Insurers

KEY TAKEAWAYS

Analysis of health plan provider directory entries for over 40% of U.S. physicians found inaccuracies for 81% of physicians examined across UnitedHealth, Elevance, Cigna, Aetna, and Humana.

The findings were largely the result of inconsistencies in addresses among physicians listed as practicing at multiple locations.

Inaccurate provider directories can lead to surprise billing and delays in care, and can be difficult to combat due to lack of standardization.