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Data directly from the source.
The CAQH Credentialing Suite enhances data quality, network management and regulatory compliance by drawing on information directly from the source — the providers themselves.
Simplify Your Credentialing Workflow
Credentialing can be costly and complicated for both providers and payers. For more than 20 years, CAQH has worked with plans, practices, groups and other organizations to make collecting, verifying and exchanging information needed for credentialing efficient and secure.
Trusted by Providers Nationwide
2.4M
Participating providers across 757 specialties
1.4M
Providers verified their data within the past 120 days
73%
Of all US physicians participating
101K
Participating dentists
Primary Source Verification
The CAQH Primary Source Verification solution validates credentialing information with live data from licensing boards, medical schools, government registries and other authoritative sources, delivering greater accuracy, speed and control to plans.
Sanctions Monitoring
By continuously checking for disciplinary actions and flagging issues daily on health plan rosters daily, CAQH Sanctions Monitoring streamlines a painstaking process and enhances regulatory compliance.
4.5
days
average time for plans to be notified of a disciplinary action.
NCQA
compliant
sanctions monitoring meets all NCQA factors for delegation agreements.
500
sources
monitored for sanctions.
Ready to learn more?
Reduce provider abrasion. Manage networks more efficiently. Maximize internal resources.