CAQH Credentialing for Group Practices: Who Keeps Every Profile Current

Medical credentialing services verifying a provider's information on a computer screen.

For most practices, CAQH credentialing is where commercial payer credentialing starts. Payers pull a provider’s education, licenses, work history, malpractice coverage and practice locations from the provider’s CAQH profile instead of asking for the same documents again. When the profile is complete and current, payer credentialing moves. When it lapses, every payer reviewing that provider…

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