CAQH Credentialing – The Why and How of CAQH Credentialing for Medical Providers
Many insurance carriers are requesting or requiring CAQH credentialing as a way to join or recredential with their provider network. What is a CAQH application, what information is needed to complete the application, how long does it take and how do I apply are a few of the questions that arise. In the past in order for a provider to participate with an insurance carrier he or she would ask for and be sent a provider application packet. Each application was different than the next. If you wanted to participate with 12 insurance companies, you might have to complete 12 credentialing applications. The CAQH credentialing process was designed to provide a universal credentialing system for medical service providers who wish to join an insurance company’s network. CAQH is a non profit organization formed to simplify healthcare administration. By completing the CAQH application, a provider now has his or her information available for an insurance company to check online for credentialing pur
