CAQH Management Services

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The Council for Affordable Quality Healthcare (CAQH) ProView profile is a foundational requirement for provider credentialing and payer enrollment. Maintaining an accurate, complete, and attested CAQH profile is essential for timely approvals, payer participation, and ongoing compliance. Our CAQH profile management services ensure your profile is always up-to-date, audit-ready, and aligned with payer expectations. 

We offer comprehensive medical credentialing services that handle the ongoing maintenance, updates, attestations, and document management—eliminating delays and reducing the administrative burden for providers and medical groups while facilitating efficient payer enrollment services.

Initial CAQH Profile Setup

We specialize in CAQH profile management by creating and completing new CAQH profiles, ensuring all required fields, disclosures, and documentation are properly entered from the start.

Profile Maintenance & Updates

Our medical credentialing services include managing ongoing updates such as licensure, malpractice coverage, practice locations, hospital affiliations, and work history to keep your profile accurate at all times.

Quarterly Attestations

CAQH requires providers to re-attest every 120 days. We track deadlines and complete attestations on your behalf to prevent profile expiration or payer delays, ensuring smooth payer enrollment services.

Document Management

We handle document management by uploading and maintaining all required supporting documents, including:

- Medical licenses

- DEA certificates

- Board certifications

- Malpractice insurance

- W-9 forms

- CVs and training history

Discrepancy Resolution

Our team identifies and corrects inconsistencies between your CAQH profile and payer applications to avoid rejections, delays, or compliance issues, enhancing your overall CAQH profile management.

Payer Authorization Management

We ensure all necessary payer access permissions are granted so insurance networks can view and process your profile without interruption, facilitating efficient payer enrollment services.

1. Profile Audit & Cleanup

We conduct a thorough review of your current CAQH profile as part of our CAQH profile management services, correcting any outdated or incomplete information.

2. Full Profile Completion

Our medical credentialing services ensure that we complete all required sections, disclosures, and uploads with accuracy and attention to detail.

3. Ongoing Monitoring

We offer ongoing monitoring of your CAQH profile, checking for expiring documents, missing information, or necessary updates to keep it compliant.

4. Timely Attestation

To maintain your profile's active status and visibility to payers, we complete attestations every 120 days as part of our payer enrollment services.

5. Continuous Compliance

We ensure that your CAQH profile remains aligned with payer requirements and credentialing standards, providing continuous compliance support.