If you are a provider looking to get credentialed, you might have heard about the CAQH profile multiple times by now. But what is CAQH, and why is it beneficial for you? Today we will shed some light on this topic to make your credentialing process simpler.
What is CAQH?
CAQH stands for ‘Council for Affordable Quality Healthcare’. It allows insurance companies to use a single, uniform application for credentialing. Over 900 health plans, hospitals, and healthcare organizations use it and require practitioners to complete their CAQH profiles before submitting their applications.
How does it work?
CAQH is an essential credentialing tool. Trusted by more than 1 million healthcare providers, it is an online provider database used for uploading and sharing self-reported professional and practice information. It enables physicians and healthcare providers to enter information into a secure central database and authorize health plans and other healthcare organizations to access the information.
CAQH streamlines data collection by using a broad, standard electronic form that meets the needs of nearly every health plan, hospital, and other healthcare organization.
Benefits of CAQH Profile
When you first get credentialed with health plans, most of the time payers will use your CAQH application/profile and export it into their system.
Therefore, having a CAQH profile is of paramount importance. Some of the major benefits are:
- Visibility – Since CAQH is a platform used by most Healthcare Organizations, Hospitals, and all the Major Health Insurance Plans, your visibility increases significantly.
- Streamlining Credentialing Process – CAQH is used for initial credentialing and payer recredentialing. This means that it enables you to manage and maintain all your credentials under one roof, streamlining the credentialing process.
- Accuracy – Through the CAQH profile, you can make sure that the information about your practice online and in directories is accurate and at the same time lets you demonstrate that your business is proactive and well-organized.
- Increased Efficiency – You can eliminate hours of administrative frustration by maintaining one secure electronic profile. You can also Speed up claims adjudication and simplify other business processes.
Having a CAQH Profile really eases the whole Provider Enrolment process for you and brings many benefits. Completing the initial CAQH ProView profile can be time-consuming. However, our experts at Bikham Healthcare are here to set it up for you. Please fill out the form below to set up a Credentialing Discovery Call with our Credentialing experts.
