- What is the Provider Data Portal?
The CAQH Provider Data Portal is an automated platform where physicians, dentists and other healthcare practitioners enter, update and verify professional and practice information and securely share it with the organizations that they authorize.
- How does the Provider Data Portal help me?
The Provider Data Portal allows you to store all your professional information including documents such as your license, training certificates, liability insurance and more. It also helps you ensure the information is correct by identifying errors and then sends you reminders when it’s time to confirm or update your information.
Then you can share your information with organizations you authorize like health plans, your employer and other organizations. The provider data portal even allows you to authorize your staff to update certain portions of your profile.
- Do all states accept data from CAQH?
The CAQH Provider Data Portal enables providers to generate a completed credentialing application that is accepted in all 50 states, even those with unique requirements. See the map.
The system is constantly being updated to address new state and federal regulatory requirements.
The CAQH Provider Data Portal complies with data collection requirements for NCQA, URAC, and JCAHO and data is secure using HITRUST CSF best-in-class data protection standards.
- How do health plans and payers use my data?
Public and commercial payers across the country access the information to address a variety of provider network uses, including credentialing, network and referral management, provider directories, health equity and more.
- How widely used is the CAQH Provider Data Portal?
Currently, 2.5 million healthcare providers, >100K dentists and 1,000 health plans, hospitals and other healthcare organizations participate with CAQH solutions to simplify credentialing. This prevents you from having to enter the same information multiple times to accommodate payers on different platforms and credentialing cycles.
- Are all physicians and other healthcare professionals required to use the Provider Data Portal?
No, participation in the CAQH Provider Data Portal is voluntary. However, more than 1,000 health plans and other healthcare organizations have requested that their network providers use the Provider Data Portal for credentialing.
- Does it cost anything to use the Provider Data Portal?
No, health care providers may use the Provider Data Portal to enter, maintain and share their professional and practice information free of charge. Health plans and other healthcare organizations pay to use CAQH Provider Data for credentialing and other important administrative functions.
- How do I start using the CAQH Provider Data Portal?
You can choose to use the CAQH Provider Data Portal at any time. You may also receive a welcome email with a link to register if a health plan you are affiliated with asks CAQH to invite you to use the portal.
1. Register or update your profile at visit https://proview.caqh.org.
2. Complete your profile and upload your documents.
3 Attest that all information is truthful and complete.
4. Authorize plans or other organizations to access your profile.
- Who can I contact for help or if I have any questions about CAQH Provider Data?
Contact the Help Desk using our Chat feature in the portal or call us toll-free at 888-599-1771. Please have your CAQH Provider ID available.
- Live chat support is available through the portal Monday – Friday, 8:30 AM – 6:30 PM (EST). Automated chat support is available 24/7.
- Phone support is available Monday – Friday 8:00 AM – 8:00 PM (EST).
- Is there training available if I need help?
Yes, CAQH University is an online, easy way to learn more about CAQH provider data solutions. This training is available at no additional charge and can be accessed through the Provider Data Portal.
