CAQH Credentialing

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 me?


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 “Universal Credentialing
.” 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 is participating.

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 clients.

Take the pain out of medical credentialing.

Medicare Credentialing

Medical Credentialing