Most carriers are now requiring you to be CAQH credentialed,
so take these steps to get your application process done.
What is CAQH & what does it have to do with
CAQH stands for "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 to improve healthcare access & quality for
patients, and at the same time, reduce the paperwork and hassle for health care providers and
their office staff.
As you know, the medical credentialing process is a
tedious one. With so many different insurance companies to choose from, and so many
application processes to go through, just being able to accept the insurance company of your
patients can be a painstaking process!
Part of the CAQH's credentialing database project is the new
DataSource." This online database collects all
provider information necessary for credentialing, and pulls it together into one database,
which is then accessible to the different insurance carriers. It also lets you know who
The objective is to only fill out your credentialing information
one time through this universal application, and eliminate the need to fill out applications for
each individual insurance company.
Many insurance companies are now
requiring providers to have a CAQH application on file before they will allow them to
be credentialed or re-credentialed.
Although the CAQH does not charge
for credentialing through them, the application & process can be intimidating and
confusing to the average person, because of the long very involved process.
Because of the numerous calls that we have gotten about becoming
credentialed with CAQH, and the difficulty that many people are facing while trying to figure out
how to correctly fill in the application, we have decided to provide this information to our