CAQH ProView Management & Credentialing Services

Our CAQH ProView Management & Credentialing Process

Step 1: Profile Audit & Gap Analysis — We review your existing CAQH profile (or start from scratch) and identify every missing field, expired document, incomplete practice location, and unauthorized payer. This audit prevents the silent blocks that delay credentialing for weeks.

Step 2: Document Collection & Upload — We collect and upload every required document: state license, DEA certificate, board certification, malpractice insurance face sheet, CV, W-9, government-issued ID, medical school diploma, and residency completion letters. Each is verified for currency and accuracy.

Step 3: Practice Location Configuration — Every practice location is entered with exact address matching your state license, service hours, accessibility information, and accepting-patients status. Location mismatches between CAQH and payer records cause downstream claim denials.

Step 4: Payer Authorization — We authorize every target payer to access your CAQH profile. Payers can only pull your data if explicitly authorized. Missing a single payer authorization means that payer cannot process your credentialing application — we authorize all target payers at once.

Step 5: Attestation & Submission — We complete the attestation process (your electronic signature confirming all information is current and accurate) and submit. CAQH attestation is valid for 120 days — we track your cycle and re-attest before expiration.

Step 6: Ongoing Maintenance & Re-Attestation — Every 120 days we re-attest your profile. When documents expire (license renewals, malpractice renewals, DEA renewals), we update them proactively. Your CAQH profile stays payer-ready at all times.

Benefits of Professional CAQH ProView Management & Credentialing

• 120-day attestation tracking — we never let your profile lapse and silently block enrollments
• Complete profile build — every field populated, every document uploaded, zero gaps for payers to flag
• All-payer authorization — every target payer authorized in one pass, not one at a time
• Document currency monitoring — license and malpractice renewals updated before expiration
• Location accuracy — practice addresses match across CAQH, state license, NPI, and payer records
• Downstream acceleration — a well-built CAQH profile cuts commercial credentialing time by 30-50%
• Multi-provider management — group practices with 5, 10, or 50+ providers managed from one dashboard
• Included in every engagement — CAQH management is part of every ProEnrollment credentialing package

Compliance Considerations

• CAQH attestation requirement — payers require attestation every 120 days; lapsed profiles are treated as incomplete
• Data accuracy obligations — providers are responsible for the accuracy of information in their CAQH profile; false attestation can result in network termination
• HIPAA-compliant data handling — ProEnrollment manages all CAQH data under signed BAAs with AES-256 encryption

Typical Timelines

• Initial CAQH profile build — 3-5 business days for a complete profile from scratch
• CAQH profile update/audit — 1-2 business days for an existing profile cleanup
• Re-attestation cycle — every 120 days; initiated automatically 14 days before expiration
• Commercial payer enrollment after CAQH — 60-120 days with a complete profile vs 90-180 days without

Common Mistakes We Prevent

• Lapsed attestation — letting the 120-day window expire silently blocks all downstream applications
• Missing payer authorizations — authorizing some payers but not others; the unauthorized payer cannot pull your data
• Expired documents — uploading a malpractice certificate that expires next month; payers see an expired document
• Address mismatches — CAQH address does not match state license or NPI address; triggers deficiency requests
• Incomplete work history — gaps in employment history trigger payer review and delay applications

Related Services

• Commercial Payor Credentialing
• Medicare PECOS Enrollment
• Re-Credentialing Management
• New Practice Credentialing
• Provider Demographic Updates