Centralized Provider Data
CAQH ProView holds provider demographics, education, training, licensure, work history, and other credentialing data in one self-maintained profile.
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What Is CAQH?
CAQH (the Council for Affordable Quality Healthcare) is a nonprofit alliance whose ProView database lets healthcare providers maintain their professional and credentialing information in one place for payers and organizations to access. It reduces duplicate data collection across the healthcare industry by giving providers a single, self-attested source of credentialing data.
CAQH streamlines credentialing and provider enrollment by eliminating the need for providers to submit the same information repeatedly to every payer and organization. Instead, a provider maintains their data once in CAQH ProView, and authorized payers and organizations retrieve it. This makes CAQH a central data source in the credentialing software development ecosystem.
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What CAQH Does
Reduced Duplicate Data Entry
Providers enter and update their information once rather than completing separate forms for every payer and organization.
Payer and Organization Access
Authorized payers, hospitals, and credentialing organizations retrieve provider data from CAQH with the provider’s authorization.
How CAQH Fits Into Credentialing
01
Source of Credentialing Data
CAQH data feeds credentialing and enrollment workflows, giving organizations current, provider-attested information to work from.
02
Integration With Credentialing Systems
Credentialing platforms connect to CAQH so data syncs automatically, as covered in our CAQH integration services.
03
Ongoing Data Maintenance
Providers re-attest to their CAQH data periodically, keeping it current for the organizations that rely on it.
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Learn more about building systems that use CAQH data in our practice, or to discuss a project.
FAQs
Frequently Asked Questions
CAQH stands for the Council for Affordable Quality Healthcare, a nonprofit alliance that operates the ProView database used in provider credentialing and enrollment.
CAQH ProView is the online database where healthcare providers maintain their professional and credentialing information for payers and organizations to access with the provider’s authorization.
CAQH is used because it centralizes provider credentialing data, so providers enter it once and many payers and organizations can access it, reducing duplicate data collection across the industry.
Yes. Credentialing and enrollment systems can integrate with CAQH ProView so provider data syncs automatically, eliminating manual re-entry.