CAQH
A centralized online profile that commercial payors use to verify your credentials, licensure, and practice information.
What is CAQH?
CAQH (Council for Affordable Quality Healthcare) is an online credentialing database used by many commercial insurance payors to verify provider information. Providers create and maintain a CAQH profile that includes education, licensure, malpractice history, and practice details. Payers use this profile during the enrollment process to reduce paperwork and speed up credentialing.
Why Insurance Payors Require CAQH
Most major commercial payors—like Aetna, Cigna, and UnitedHealthcare—require providers to have a current CAQH profile. It acts as a centralized repository for your credentialing data, allowing payors to pull your information directly from CAQH instead of asking for paperwork every time.
If your CAQH is not complete or attested, your enrollment can be delayed or denied.
Payors use CAQH to:
Confirm your credentials and licensure
Validate your malpractice insurance and work history
Verify your practice locations and affiliations
What You Need to Create a CAQH Profile
Before you start, have these items ready:
Your Type 1 NPI
A copy of your current license
Education and training history
Work history (including any gaps >30 days)
Malpractice insurance details
A copy of your W-9
Practice details (locations, phone numbers, Tax ID)
You’ll also need to upload supporting documents and complete attestations to confirm accuracy.
How to Set Up Your CAQH Profile
Go to proview.caqh.org
Click “Register” if you're a new user or “Log In” if you have an account
Enter your NPI and other identifying information
Fill in your profile sections completely
Upload required documents
Authorize payors to access your information
Attest to the accuracy of your profile
Attestation Requirements
You must attest every 120 days to keep your profile active—even if nothing has changed.
Common Issues That Cause Credentialing Delays
Your CAQH is incomplete or unsubmitted
You haven’t attested in over 120 days
You forgot to upload supporting documents (license, malpractice, etc.)
You didn’t authorize the payor to view your profile
Tips for Staying Compliant
Set a reminder to attest every 3–4 months
Update your profile any time you change jobs, locations, or licenses
Keep your supporting documents current and clearly labeled
Check which payors you’ve authorized and update as needed
Need Help or Have a Question?
[email protected] 800-799-3859 piehealthusa.com
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