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CAQH ProView is a shared credentialing database most commercial payers pull from. One profile per clinician replaces filling in the same forty pages for every payer. It does not replace payer enrollment; it feeds it.

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Prerequisites

  • The clinician’s Type 1 NPI
  • Current license, DEA registration where applicable, board certification
  • A malpractice certificate of insurance
  • A complete work history with no unexplained gaps

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Steps

1

Get the CAQH Provider ID

Either the clinician already has one — most do, from a prior employer — or you register at proview.caqh.org. Some payers can initiate the invitation.Check for an existing profile before creating a new one. Duplicate CAQH profiles cause the same class of problem as duplicate NPIs.
2

Complete every section

3

Upload supporting documents

Current license, DEA certificate, malpractice COI, board certification, CV, and a signed release. Documents must be current — an expired COI stalls the profile.
4

Authorize the payers

Explicitly authorize each payer you intend to enroll with to access the profile. An unauthorized payer cannot see it, and the application sits waiting for information the payer cannot retrieve.Authorize broadly, including payers you might enroll with later. There is no cost to authorization.
5

Attest

The profile is not usable until attested. Attestation is the clinician’s certification that the information is accurate.
6

Calendar the re-attestation

Attestation expires. CAQH requires re-attestation on a recurring cycle, commonly described as roughly every 120 days. A lapsed attestation makes the profile invisible to payers mid-credentialing, and applications stall silently. This is one of the most common causes of a credentialing application going quiet.Put it on the compliance calendar the day you attest, with a 14-day lead. Verify the current interval in CAQH’s own documentation, since it has changed over time.

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Ongoing maintenance

Update the profile whenever:
  • A license or DEA registration is renewed
  • The malpractice policy renews — the COI must be current
  • Board certification is renewed
  • The clinician adds a state license
  • A practice location is added or changed
  • Anything in the disclosure questions changes
Then re-attest, because an update without attestation may not propagate.

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Delegating maintenance

For a group with many clinicians, this is a real workload, profiles times clinicians times re-attestation cycles. Options: Attestation itself is generally the clinician’s act. Everything else can be delegated.
CAQH profiles are one of the few things that transfer when you expand. A clinician licensed in a second state updates their existing profile rather than building a new one. Keeping profiles clean pays off at expansion. See Enroll with payers, again.

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CAQH EnrollHub

A separate product from the same organization, for EFT and ERA enrollment. Submit bank account details once for participating payers rather than a separate form and voided check for each. Not every payer participates, but where they do it saves real time. See Set up EDI, ERA, and EFT.

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Verify it worked

  • No duplicate profile created
  • Every section complete
  • No unexplained work history gaps
  • All documents current and uploaded
  • Target payers authorized
  • Profile attested
  • Re-attestation date calendared with a 14-day lead
  • A named owner for ongoing maintenance

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Common failure modes

Related topics

Step 6: NPIs, taxonomy, and CAQHCredential each new provider you hireTrack licenses, revalidations, and expirablesEnroll and contract with commercial payersPayer enrollment & submission links