Job highlights

- The CAQH profile technically belongs to the provider,and they should maintain awareness of its content.
- Providers are required to re-attest to the accuracy of their information every 120 days to keep their profile updated

CAQH (Council for Affordable Quality Healthcare) is a non-profit organization that provides a free, universal database, CAQH ProView, for healthcare providers to store and share their professional credentialing information with health plans, simplifying the process for both parties . Through this platform, providers can enter their information once, including licenses and certifications, and then grant access to multiple health plans for their initial credentialing and re-credentialing needs. This centralizes data, improves accuracy, reduces administrative burden, and streamlines the process for providers and healthcare organizations nationwide. What is CAQH
- A non-profit alliance: CAQH is a collaborative effort among healthcare stakeholders, including health plans, providers, and vendors.

- CAQH ProView : This is the core of the CAQH platform, a national database where providers can store their professional information and documents.

- Universal Data: CAQH provides a single, standardized application that replaces the need for multiple applications from different health plans and networks.

How does CAQH support Provider Credentialing
- Streamlined Data Collection: Providers enter their information, licenses,



and certifications into the CAQH ProView portal one time.

- Simplified Access: Providers can grant health plans, which pay a fee for access, permission to view their profile and download the information for credentialing.

- Re-attestation: Providers are required to re-attest to the accuracy of their information every 120 days to keep their profile updated.

- Document Repository: The platform serves as a place to upload and store important documents like DEA certificates, medical licenses, and malpractice insurance certificates.

Benefits of Using CAQH
- For Providers:
- Reduces time and effort spent filling out multiple applications.
- Provides a single, centralized location for credentialing information.

- Offers a single CAQH ID that can be used across many health plans.

- For Health Plans:

- Provides access to accurate and up-to-date provider data.
- Automates parts of the credentialing workflow, speeding up the process.

- Helps to build and maintain a high-quality healthcare network.

Significant Considerations
- Not universal: Not all payers, including Medicare and Medicaid, use CAQH for credentialing, though many commercial insurers and some state programs do.

- Self-reported: The information on the CAQH platform is self-reported, so providers are responsible for keeping it accurate and updated.

- Provider ownership: The CAQH profile technically belongs to the provider, and they should maintain awareness of its content.

📌 Provider Credentialing, CAQH (New Delhi)
🏢 Han Digital Solution
📍 New Delhi