Why a complete CAQH ProView profile is critical to credentialing success
CAQH ProView is the central credential database used by more than 1,000 US health plans to access provider credentials for network enrollment. An incomplete, inaccurate, or outdated CAQH profile creates downstream problems for every commercial credentialing application that relies on it.
The 9-section checklist below covers every required element of a complete CAQH ProView profile. Work through each section before submitting any credentialing applications. A profile that is complete and accurate before applications are submitted reaches committee review without a documentation collection step, reducing timelines by 2 to 6 weeks.
Complete CAQH ProView setup checklist
✓Account Setup
- Create CAQH ProView account at proview.caqh.org
- Note your CAQH Provider ID — required for all payer applications
- Authorize any credentialing service representative if applicable
✓Personal and Professional Information
- Legal name exactly as on your state medical license
- National Provider Identifier (Type 1 NPI)
- Social Security Number or Individual Taxpayer Identification Number
- Primary practice address and all additional practice locations
✓Education Section
- Medical school name, address, and graduation date
- Residency program name, specialty, and completion date
- Fellowship program name, specialty, and completion date (if applicable)
✓Professional Licenses
- Current state medical license number, state, issue and expiration date — upload current copy
- All additional state licenses currently held
- DEA registration number, state(s), issue date, and expiration — upload current certificate
- State controlled substance registration(s) where applicable
✓Board Certifications
- Primary specialty board name, certification number, and expiration date — upload certificate
- All additional board certifications
- Board recertification schedule and next due date
✓Work History (10 Years)
- All employment for the past 10 years — no unexplained gaps permitted
- For each position: employer name, address, phone, supervisor, start date, end date, reason for leaving
- Explanation for any gaps exceeding 30 days
✓Malpractice Insurance
- Insurance carrier name and address
- Policy number and coverage type (occurrence or claims-made)
- Coverage limits per occurrence and aggregate
- Current certificate of insurance — upload current copy
- Complete claims history for past 10 years: date, claim amount, amount paid, status
✓Payer Authorization
- Authorize every target payer to access your CAQH profile — mandatory before applications are submitted
- Review and update payer authorization list quarterly
✓Attestation
- Review every completed section for accuracy
- Complete quarterly attestation — required every 120 days
- Calendar next attestation 100 days from today to ensure timely completion
Frequently asked questions
Can't find your answer? Our team responds within one business day.
Ask a QuestionEvery 120 days. When attestation lapses, CAQH marks your profile inactive and payers who access it receive an inactive status response, which pauses any pending credentialing applications. Setting a calendar reminder 100 days after each attestation is the simplest way to ensure you never miss the deadline.
Skipping any required section marks the section as incomplete. Payers attempting to access your CAQH profile receive an incomplete profile notification, which typically triggers a development letter requesting completion before the application can advance. This adds 2 to 6 weeks to your credentialing timeline per affected payer.
Log into CAQH ProView, go to the Payer Authorization section, and add each payer you want to authorize. Most major commercial payers appear in the searchable payer list. Authorize every payer you currently bill or plan to credential with. Without authorization, payers cannot pull your credentials.
Yes. CAQH ProView allows providers to authorize designated representatives to manage their profile. You grant representative access with a specific permission level, and the authorized representative can then update sections, upload documents, and complete attestation on your behalf.
Your taxonomy code must match your scope of practice and the taxonomy codes accepted by your target payers for your specialty. Taxonomy mismatch between CAQH, your NPPES record, and payer applications is one of the most common causes of systematic claim denials after credentialing approval.
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