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Guide

CAQH ProView setup & attestation

Set up CAQH once, keep it clean, and every payer credentialing cycle gets faster.

What CAQH ProView actually is

CAQH ProView is the shared credentialing database that most commercial payers — Aetna, BCBS plans, Cigna, UnitedHealthcare, Humana, and many MCOs — pull from. Instead of sending the same demographics, education, work history, and malpractice details to every payer, providers maintain one profile and grant each payer access.

Setting up a new CAQH profile

  1. Request a CAQH ID. Either a payer initiates one during credentialing, or the provider self-registers at proview.caqh.org.
  2. Complete every section: personal info, education, training, specialties, practice locations, hospital affiliations, work history (10-year gap-free), malpractice carrier + face sheet, disclosure questions.
  3. Upload documents: state license(s), DEA, board certification, malpractice COI, W-9, IRS letter for the group TIN, driver's license or passport, CV.
  4. Authorize payers. Set access to "Global" or explicitly authorize each payer that will credential the provider.
  5. Attest. Nothing is visible to payers until the provider clicks Attest.

The 5 mistakes that get CAQH rejected

  • Work-history gaps > 30 days unexplained. Every gap needs a note.
  • Expired documents. Malpractice COI, DEA, and license expiration dates in the profile must match the uploaded PDFs.
  • Mismatched name. The name on the license, NPI, and CAQH must match exactly — including middle initials.
  • Wrong practice address. Payers cross-check against the group's tax ID and location roster.
  • Missed re-attestation. CAQH requires re-attestation every 120 days. Miss it and the profile goes stale — payers can't pull it.

Re-attestation cadence

Set a recurring calendar reminder every 100 days. CAQH sends automated reminders, but they go to the provider's inbox and often get missed. A group credentialing lead should own the re-attestation calendar for every provider on staff.

How Credify handles CAQH

For every provider we credential, Credify Health owns the CAQH profile: initial setup, document uploads, quarterly re-attestation, and payer authorization. Your team never has to touch it. See related: the complete credentialing guide and payer timelines.

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Want us to own CAQH for your providers?

Book a 20-minute call — we'll pick up existing profiles or start fresh.