Otherwise known as, the Council for Affordable Quality Healthcare.  It is essentially an online portal that stores provider information in a secure database.  Access to this secured information is granted to health insurance companies during the credentialing process to make acquiring up-to-date provider information more efficient.  Instead of calling your office for your work history or a copy of your Medical License, they can go in and pull it directly from your file.  90% of the National Health Insurance Companies use CAQH and it is a prerequisite for the insurance enrollment process in most states.

The mission of CAQH is to improve health care access & quality for patients, and at the same time, reduce the paperwork and hassle for health care providers and their office staff.

As you know, the insurance credentialing process can be a painful one with all of the various credentialing applications and insurance carriers.  It’s stressful and time consuming to go through each insurance companies unique credentialing process.  This is where having all of your information in a central database becomes so helpful to the various organizations you work with.

Attesting your CAQH profile is the process of signing off on your CAQH application at the end of the application process.  In addition to initially attesting, you have to go back in and attest every 120 days which keeps your application active and provides your contracted insurance carriers with up-to-date credentialing information.  Failure to attest your CAQH application will result in your credentialing / recredentialing applications with the payers being delayed or rejected. 

It’s critical that you keep up with CAQH and ensure your information is accurate.  Every time you receive a new malpractice policy, license, DEA certificate, W9 or address, it’s critical that you get this information updated in CAQH.

• The objective is to only fill out your credentialing information one time through this universal application and eliminate the need to fill out applications for each individual insurance company.
• Most insurance companies now require you to have a CAQH id prior to initiating the credentialing process. 
• Although the CAQH does not charge for obtaining an ID but the application & process is very time-consuming and can be confusing to the average person.
• Our team have completed 1000s of CAQH applications and is intimately familiar with the process.
• CAQH Registration- More Info Available Here

Obviously, the first step in getting your CAQH account set up is to login, we cover that process here.

1. First, it’s important to know that you will always only have one CAQH ID, regardless of how many states or practices you’ve worked in.  Often providers do not even know that they have a CAQH number as their employer will obtain it for them.  It is still your number and stays with you wherever you go just like your NPI number does. 
2. Once you’ve determined you have a CAQH ID which is often by contacting CAQH, you will now need your CAQH userid which is often different than your ID number.  If you don’t have your login ID, visit the CAQH website and attempt to retrieve with your personal information. https://proview.caqh.org/Login/ (Contact CAQH if you have problems logging in or need to reset your information- 888-599-1771 or via email at [email protected].)
3. Once you’ve logged in to CAQH, you will want to go to the contact information area of your profile and ensure you’ve updated the contact name and email as this will ensure you can reset your password without calling in the future.

   

4. Next, you will want to review your profile, including any deficiencies and get all areas updated and attested.  
5. If you are moving practices or starting your own practice, you will need to be sure to update CAQH with your new information.  Do not delete anything from CAQH unless you are absolutely sure that it won’t affect the recredentialing process with payers.
6. Once you have created or updated your CAQH profile, make sure that you authorize payers to access your file.  If you fail to do this, insurance companies will not be able to access your account for the credentialing process.

We charge $200.00 per CAQH application for new providers who do not have a CAQH ID and $150.00 if you already have a UserID and Password but just need it setup.  We will send you an invoice which you can pay by check, bank draft or credit card.

If interested in having us assist you with the CAQH proview credentialing process, please send us an email or complete the interest form below.  You will need to complete our provider application as part of the process and this can be done before or after paying the invoice for our services.