CAQH Credentialing Provider Database

credentialing for physicians

credentialing for physicians

CAQH Credentialing Provider Database

Most of the insurance companies are now utilizing the CAQH credentialing provider database system when credentialing for physicians. This helps eliminate the paper application forms because the information needed for the credentialing for physicians required are now available on the website database. Allow yourself at least 2-3 hours to populate your information on CAQH credentialing provider database.

Isn’t it nice that no more snail-mailing of credentialing application packets saving countless of trees.

What CAQH Credentialing Provider database does is that, it captures all demographic information of the provider to ease the credentialing process and in fact, it becomes faster and more efficient way. I am guessing, it may save it may save the provider at least 3-4 weeks of processing time for the insurance credentialing process. This is just based on my 10 years of experience doing credentialing for physicians.

I know that it may take approximately 2 to 3 hours to complete and enter all your demographic information on CAQH. So make sure you have everything
ready, relax and have more than enough time when entering your data on CAQH Credentialing Provider database.

Getting Started with CAQH Credentialing Provider Database

medicare provider enrollment


You can also upload your all other related documents such as your professional liability insurance and copies your license and certifications.

After you are finished, you have to perform attestation. And if there is a problem, CAQH will let notify you if there is a need for you to provide additional information or there are missing information. They will also notify you if one of your documents is expired. They will then provide you with how to fax them the missing information (such as a copy of an updated professional liability insurance).

CAQH credentialing Provider database system is a non-profit organization and they have a website that providers and insurance payers get information. You can authorize the insurance company to look up your information on CAQH.

  1. Personal Information
  2. Educational Background
  3. Practice Information
  4. Upload Documents (Licenses, Liability Insurance and other related documents)

Instead of you submitting application forms, they can look you up and all your related credentials, practice location addresses and your specialty and sub specialty.

You can authorize all insurance companies to view your data on CAQH or you can choose which insurance companies will you allow.

Do you need help with your credentialing? .. please contact me. I can help you. I have more than 10 years of credentialing experience. As you know, credentialing can be very tedious work. I can be available to help you in the process of getting credentialed. Read my clients’ testimonials about me and the praises I humbly had always received

Medical Billing and Coding Blog Pinky Maniri

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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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