Everything your CAQH profile needs to stay complete and active
CAQH ProView is used by more than 1,000 health plans and hospitals to collect provider credentials. A single gap in your profile can delay or block credentialing with every one of them simultaneously. Our management service keeps every field current and every document fresh.
New CAQH Profile Setup
Complete CAQH ProView profile creation for new providers including account setup, NPI entry, license upload, malpractice certificate upload, work history entry covering the required lookback period, education and training entry, peer reference collection, and initial attestation.
Quarterly Attestation Management
CAQH requires providers to re-attest their profile every 120 days. We calendar every attestation deadline and complete the re-attestation process before the deadline, including updating any changed information and uploading refreshed documents.
Profile Completeness Audits
We review existing CAQH profiles for completeness scores, missing documents, expired credentials, and data discrepancies that trigger credentialing delays. Our audit catches issues before payers see them and flag your profile as incomplete.
Document Management
We track expiration dates for every document in the CAQH profile including malpractice insurance, state licenses, DEA certificates, and board certifications. We request renewals from providers proactively and upload new documents before they expire.
Authorization Management
Payers access CAQH only when a provider has authorized them. We manage the authorization section of the CAQH profile to ensure all target payers have current access, eliminating a common reason credentialing applications stall.
Profile Migration and Updates
When providers join a new group, change practice locations, add a specialty, or update their malpractice coverage, the CAQH profile must be updated immediately. We handle all profile changes and confirm payer data pulls reflect the correct information.
CAQH errors cause more credentialing delays than almost anything else
In our experience processing hundreds of credentialing applications annually, CAQH ProView issues are a contributing factor in roughly 40% of application delays. An expired attestation that marks the profile inactive. A malpractice certificate that lapsed before the payer pulled the data. A peer reference with an outdated phone number. A payer authorization that was never enabled.
Each of these issues seems small in isolation, but each one can add weeks or months to an enrollment timeline that the provider is counting on to start billing. Worse, they often go unnoticed until a payer sends a denial letter or a credentialing coordinator spends days tracing back why an application has not moved.
Our CAQH management service eliminates this entire category of delay. We own the profile and every document in it. We track every expiration date. We complete every attestation on schedule. You never have to think about CAQH again after your initial setup.
The CAQH mistakes that delay credentialing and how we prevent them
Error: Missing quarterly attestation
Profile marked inactive. Payers cannot access the profile for credentialing. All pending applications halt until re-attestation is complete.
We calendar every attestation deadline and complete it proactively, typically 2 weeks before the 120-day window closes.
Error: Expired malpractice certificate
Credentialing applications rejected or placed on hold. Payers will not credential a provider with expired malpractice coverage.
We track malpractice policy expiration dates and request the renewed certificate from the provider or their carrier 30 days before expiration.
Error: Incomplete work history
Gap in work history triggers additional documentation requests and delays. Many payers require a complete 5 or 10-year work history with no unexplained gaps.
We complete a thorough intake review and document all positions, including locum tenens and part-time arrangements, with exact dates.
Error: Missing or outdated peer references
CAQH requires current peer references. Outdated contact information means payers cannot verify references and credentialing applications stall.
We verify reference contact information during intake and follow up with references directly when payers need attestation letters.
Error: Payer authorizations not enabled
Target payers cannot access the CAQH profile to pull credentialing data. The provider may be unaware payers are waiting for data they have no access to.
We review and manage the authorization section for all target payers as part of every profile update.
CAQH ProView questions answered
What is CAQH ProView and why does it matter for credentialing?
CAQH ProView is a centralized database maintained by the Council for Affordable Quality Healthcare that most commercial payers use to collect and verify provider credentials. Instead of completing separate applications for every payer, providers enter their information once in CAQH and authorize payers to access it. Over 1,000 health plans and hospitals use CAQH ProView, making it a critical hub in the credentialing process. An incomplete or outdated CAQH profile blocks or delays credentialing with virtually every commercial payer.
How often does CAQH need to be updated?
CAQH requires re-attestation every 120 days (approximately every 4 months). Beyond the quarterly re-attestation, the profile should be updated immediately whenever any information changes including license renewals, malpractice policy renewals, address changes, new specialties, or changes to hospital affiliations.
What happens if a provider misses the CAQH attestation deadline?
If a provider does not re-attest within 120 days, CAQH marks the profile inactive. Payers trying to access the profile for credentialing get an inactive status, which halts any pending applications. Some payers will reject an application outright if the CAQH profile is inactive at the time of their data pull. Reactivating requires completing the re-attestation, but the delay can set credentialing back by weeks.
Can you set up CAQH for a provider who has never had a profile?
Yes. We create new CAQH ProView profiles from scratch including account registration, NPI entry, all license and document uploads, work history completion, peer reference entry, and initial attestation. New profile setup typically takes 2 to 3 business days once we have all required documents from the provider.
Is CAQH management included in your credentialing packages?
Yes. CAQH ProView setup and management is included in our standard provider credentialing and payer enrollment packages. For providers who already have an active enrollment but want standalone CAQH maintenance, we offer CAQH-only management as a separate service.
Stop letting CAQH issues hold up your credentialing
Our team will audit your existing CAQH profile for free and identify any issues that could be causing or will cause credentialing delays. Contact us today to get started.