CAQH Profile Setup & Management: Essential Tips for Providers

## Understanding CAQH ProView CAQH ProView is a free, universal credentialing database that stores provider information in a standardized format. Over 1.4 million providers use CAQH, and most major insurance companies pull credentialing data directly from it. ## Setting Up Your CAQH Profile ### Step 1: Register for CAQH ProView To get started, you'll need your CAQH provider ID number. If you don't have one, you can self-register at proview.caqh.org or request one through a participating health plan. ### Step 2: Complete All Sections Your CAQH profile includes several critical sections: - **Personal Information** — Legal name, date of birth, SSN - **Professional IDs** — NPI, DEA, state license numbers - **Education & Training** — Medical school, residency, fellowships - **Work History** — Last 5+ years of employment - **Practice Locations** — All sites where you provide services - **Hospital Affiliations** — Current privileges - **Malpractice History** — Claims and settlements - **Insurance** — Current malpractice coverage details ### Step 3: Upload Supporting Documents Required documents typically include: - Current state medical license(s) - DEA certificate - Board certification(s) - Malpractice insurance face sheet - Curriculum vitae (CV) - W-9 form ## Common CAQH Mistakes 1. **Incomplete sections** — Every field matters; blank fields trigger delays 2. **Expired documents** — Keep all uploads current 3. **Address mismatches** — Ensure consistency across all sections 4. **Missing attestation** — You must re-attest every 120 days 5. **Wrong document formats** — Use PDF or JPEG only ## Maintaining Your Profile ### Quarterly Attestation CAQH requires you to review and attest your profile every 120 days. If you miss the attestation window, your profile becomes inactive and payers cannot access it. ### Keeping Information Current Update your profile immediately when: - You change practice locations - You obtain new certifications - Your malpractice insurance renews - Your state license renews - You add or drop hospital privileges ## How LL Billing Manages Your CAQH Our credentialing team handles complete CAQH profile management including initial setup, document uploads, quarterly attestations, and ongoing updates. We ensure your profile stays active and accurate so credentialing applications process smoothly.