Practitioner CAQH® Application Instructions and Checklist. Instructions for New Practitioners Not in the CAQH Database. Complete the Practitioner Data. Code list is found on page Enter the associated 3-digit code in the space provided.*. NOTE: CAQH will use this method for application follow-up. NUMBER . 19 Jul What is the CAQH Universal Credentialing DataSource (UCD)? providers learn more about the CAQH credentialing application database?.

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All providers interested in participating in our network are asked to complete and return a credentialing application kit. If the pre-populated data is incorrect, will I be able to override and correct it online? This may be quickly done via online access. If you check and attest to data four times a year, participating health plans can access current information from the database at the time of recredentialing or database updates, without having to contact you repeatedly.

If one of the health plans with which you work is not currently participating in the initiative, please ask them to visit the CAQH website at www. Do I need to complete the entire application?

Who is paying for the database, and how much does it cost? ET, to provide assistance caqg any questions you may have. With CAQH, a physician or healthcare provider only needs to update information that has changed. The entire application must be completed prior to your verification of its accuracy, and before the participating health plans that you have authorized can access it.

You will still need to contact any non-participating plans directly. The Council for Affordable Quality Apolication CAQH Universal Provider Datasource is designed to accomplish administrative simplification by gathering credentialing data in a single repository that may be accessed by participating health plans and other health care organizations. Once a provider completes the application, all the information is automatically made available to authorized health plans, hospitals, and other health care organizations with whom you participate.

The main purpose of the pre-population process is to facilitate the use of the application for providers by pre-filling as many data fields as possible with available information. How will my confidentiality be maintained within the database? Medical practices often spend thousands of dollars to buy specialized software, hire consultants or even employ full-time staff to manage the administrative burden of reporting provider data.


One of the most integral parts of the credentialing process is the collection and verification of vital data from the physician regarding his or her education, training, experience, practice history, location, disclosure of any issues impacting their ability to provide care and other background information. You can stop at any time, save what you have completed, and return later applicagion finish caaqh process.

If one of the health plans with which you contract is currently not participating in the initiative, please ask them to visit the CAQH website at www. Only health care organizations authorized by a provider have access to provider data, and a provider has access only to his or her own data.

Can I use the CAQH database to report any changes to my practice, such as address, phone numbers, and new daqh During the initial registration process, providers will create a unique system ID number and confidential password. Council for Affordable Quality Healthcare All providers interested in participating in our network are asked to complete and return a credentialing application kit.

Routine tape back-ups protect all aplication system data and are secured in an off-site storage facility. When completing the application, you will indicate which participating health plans and health care organizations will be authorized to access your application data. All network traffic to and from the center is routed through redundant firewalls for complete security to the database and online systems.

Virus detection mechanisms are used to ensure that the database and the websites are free of all viruses.

Frequently Asked Questions About CAQH | AmeriHealth Caritas VIP Care

The CAQH Universal Provider Datasource will greatly reduce the amount of administrative time required in this process for appplication and other health care providers. Credentialing involves a tremendous amount of paperwork and administrative time. There is no cost for physicians and other health care providers to use the credentialing application database.


This will help to ensure that you continue to conform to the requirements of each participating health plan with which you contract. Rather than contact each of these plans individually, you applicaton enter your changes once into the CAQH database for all authorized participating plans applicationn access. Please complete the Provider Participation Form. You can transmit the completed application electronically, or you can call the CAQH Help Desk at to request an application be sent by mail to complete the application off-line and then submit it via fax.

If you are contracted with a health plan that is not participating in the CAQH Credentialing Data Initiative, you will need to continue to deal with that organization directly, separate from the database process. The system is designed to allow you to complete the application over time.

Secure internet accesses to application screens, use of aoplication, electronic signatures and certificates, and powerful bit Secure Socket Layer SSL encryption are used acqh ensure only authenticated use of the system. To access the database, interested organizations should contact CAQH for more information about pricing.

Frequently Asked Questions About CAQH

Filling out multiple forms can take hours, especially when a practice contracts with multiple health plans. Providers can, at any time, print their CAQH application and send it to non-participating organizations.

Who is paying for the database and how much does it cost? It is limited to engineers and monitoring staff. You control which plans have access to your application information. Please be aware, however, that only plans that participate in the CAQH Universal Provider Datasource and that have been authorized by you to access your information will receive any changes.

Will there be assurance that no one can update my information except me? Learn more about our credentialing criteria for professional providers.

The password may be changed at any applicationn by accessing the online application website and following the listed instructions.