CAQH stands for the Council for Affordable Quality Healthcare. CAQH is important because it simplifies the administrative burden of credentialing by providing a single, centralized online database for healthcare providers to submit and maintain their professional information. This streamlines the process for both providers and insurance companies, which leads to faster enrollment.
CAQH ProView, now called the CAQH Provider Data Portal, simplifies the credentialing process for healthcare providers by offering a central location to manage and share their professional information with multiple organizations. Providers can enter their information once and share it with multiple insurance plans, saving significant time and effort. When providers are updating information in one location, with automatic population to other portals and software, approvals are quicker, and patients can be seen sooner.
CAQH re-attestation is a requirement every 120 days, as regular updates ensure that any changes in practice, qualifications, or other relevant details are reflected. The recurring task helps to confirm that information is up to date and helps to maintain trust and transparency with health plans and other stakeholders.
An incomplete or outdated CAQH profile can result in credentialing delays, rejected applications, and insurance claim denials. Many providers forget to update their information regularly, which can create gaps in their credentials. So its important to ensure not only do you attest to your CAQH accounts, but also take time to verify that the information provided, such as emails, phone numbers, and fax numbers are current and accurate!