Payor Enrollment Mistake #1: Avoid your CAQH account from lapsing / Ensure your CAQH is updated before the credentialing process

Your CAQH account is essential when it comes to payor enrollment and applying to a new insurance network. For new and existing physician practices and medical providers, we recommended verifying your CAQH account is active and up to date.

If you do not have a fully registered account or your account is out of date, your payor enrollment applications may be delayed or rejected.

To help you get started, we provided a list of FAQs.

How Do I Know If My Account Is Active?

The easiest way to know if you CAQH account is active is to log into your CAQH ProView Account and check your profile status.

You can access your CAQH ProView account by clicking here.

Once you log in, navigate to your account profile page where you can verify your status. If you have any questions about your CAQH ProView status, please feel free to contact us. We are here to help.

How Do I Know If My Account Is Up To Date?

Keeping your CAQH ProView account up to date can be challenging, especially during 2020 which saw a significant shift to the way tele-medicine is managed and coded.

Fortunately, CAQH does a good job posting updates and announcement for its members. To review the latest updates and announcements, visit CAQH.org or click here to go to the news and updates section on their website.

To stay abreast of the latest credentialing news, please feel free to review our Facebook page or join our Facebook Group, Credentialing Talk.

How Do I Create A New CAQH Account?

Creating a new CAQH ProView account is easy. However, you should not create a new CAQH ProView account if you already have an existing account. This will result in delays and potential rejection of new payor enrollment applications.

Please refer to the first FAQ, How Do I Know If My Account Is Active?, before creating a new CAQH account.

To create a new CAQH account, you will need to go to the CAQH ProView registration page and complete the online form. You can access the CAQH Proview registration page by Clicking Here.

Please read the instructions carefully before creating a new account.

IF I Need Help, Are There People Who Can Help Me Verify My CAQH Account?

Yes, there are people who can help. There are companies and consultants, like 1ˢᵗ Credentialing, who specialize in helping physician practices and medical providers navigate the credentialing and CAQH process.

Before seeking guidance from us or another third party, we recommend first contact CAQH.org. They have an effective online chat and a direct number you can call.

To contact CAQH, click here.

To learn more about 1ˢᵗ Credentialing and how we may help you, please feel free to contact us directly by phone or email.