CAQH is an online data repository of credentialing data. “CAQH Credentialing” refers to the process of practitioners self reporting demographic, education and training, work history, malpractice history, and other relevant credentialing information to create an online credentialing profile for insurance companies to access. Electronic access to this information is meant to reduce the burden of paperwork by eliminating much of the paper based enrollment process involved with payor network enrollment and facility privilege applications.
From their website “CAQH is The Council for Affordable Quality Healthcare, Inc., a not-for-profit collaborative alliance of the nation’s leading health plans and networks. The mission of CAQH is the improvement of healthcare access and quality for patients and the reduction of the administrative requirements for physicians and other health care providers and their office staff members”
The ultimate objective of The Council for Affordable Quality Healthcare is to gather credentialing information on healthcare practitioners and make that information available to health plans and other healthcare entities in order to streamline the credentialing process.
How Do I Participate with CAQH?
In order to create an online profile for healthcare entities to access your information, you need a CAQH ID and username and password for the website. With the new Proview system implemented by CAQH, providers may now acquire a user account by directly contacting CAQH. Visit the Proview website here to register with CAQH.