What is CAQH? Council for Affordable Quality Healthcare.  It is essentially  an online database that stores provider information.  This information is granted to health insurance companies to make acquiring provider information more efficient.  Instead of calling your office for your work history or a copy of your Medical license, they can go in an pull it directly from your file.  90% of the National Health Insurance Companies use CAQH and it is a prerequisite for their enrollment process.

There are three steps to getting set up in CAQH which are outlined below.  We are the only credentialing company currently that can actually complete all of these steps for you without needing to wait on an insurance company to issue your ID.  Not having a completed CAQH application will delay your enrollment with the insurance companies prevent you from getting reimbursed for your services.

CAQH Credentialing Process

  1. Obtain your CAQH ID (Our Average 2-3 business days, Other Companies & Insurers 4-5 weeks)
  2. Set up your secure username and password
  3. Complete the online application and send in required documentation
  4. Send you attestation for signature which certifies the application
  5. Grant insurance companies access to your online application
  6. You are now ready to start the credentialing/contracting process with the insurers.

Estimated Time for Completion : 5-7 Business Days

Costs

We charge $200.00 per CAQH application for new providers who do not have a CAQH ID and $150.00 if you already have a UserID and Password but just need it set up.  You can pay by Visa, Mastercard, AMEX, or Discover Card.

If interested in our service, please visit our site dedicated to this service at CAQHcredentialing.com and click on the Get Started link.

 

What is CAQH?

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 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.

Why is CAQH important?

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.

Sabrina Stephens, our Director of Credentialing Services, over the past 3 years has been responsible for 500 CAQH applications.  She is keenly familiar with the process and supervises every interaction and application with CAQH.