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  • What is CAQH and Why is it Important for Credentialing?

What is CAQH and Why is it Important for Credentialing?

November 1, 2025 / admin /

CAQH (Council for Affordable Quality Healthcare) ProView is a centralized database that stores provider credentialing information used by most health plans and healthcare organizations. Instead of completing separate applications for each payer, providers enter their information once in CAQH, and participating organizations can access it. Maintaining an active, up-to-date CAQH profile is essential because most insurance companies require it for credentialing and recredentialing. You must attest to the accuracy of your information every 120 days to keep your profile active. Failure to maintain your CAQH profile can delay or prevent credentialing with new payers and cause issues with recredentialing for existing contracts.

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • White Female Medical Credentialing Expertise

    Who Does Credentialing in a Healthcare Organization?

  • Primary Care Medical Billing, Credentialing

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  • A Group of Contracted Doctors Standing in Times Square

    Provider Challenges in Payer Contracting

  • White Female Master Medical Credentialing Expert

    Complete Credentialing and Enrollment Process for Providers

  • Aging Asian-American Female Medical Doctor

    Use Case: Behavioral Health Credentialing

  • AI Bot Assistance in Medical Credentialing

    How Does AI Assist Medical Credentialing?

  • Medical Credentialing Specialist Resume

    How to Write a Medical Credentialing Specialist Resume

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