Topic cluster

CAQH & commercial credentialing

5 focused guides in this cluster. Use the individual articles for the exact transaction rather than treating the entire payer/onboarding workflow as one status.

Building a first CAQH provider profile from six source-document categories — CV, licenses and DEA, malpractice coverage, education and training, work history, and practice locations — into one complete profile.
01CAQH & commercial credentialing

CAQH Provider Data Portal: Build the First Profile From Source Documents

Build a first CAQH Provider Data Portal profile from source documents, authorize the right organizations, upload current evidence, and create a maintenance record from day one.

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CAQH re-attestation cycle diagram: 120 days for most providers, 180 in Illinois, showing internal review, compare and update, refresh documents, attest, and log date as a recurring loop.
02CAQH & commercial credentialing

CAQH Re-Attestation: 120 Days for Most Providers, 180 Days in Illinois

A CAQH re-attestation workflow that reflects the current 120-day cadence for most providers and 180-day cadence for providers practicing in Illinois, with document and change controls built in.

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03CAQH & commercial credentialing

CAQH Practice-Location Review: What the 90-Day Response Window Means

CAQH can present health-plan-submitted locations for provider review; unresolved requests can be reported as No Response after 90 days. This is not a universal 90-day location attestation cycle.

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04CAQH & commercial credentialing

CAQH Document Expiration: Prevent a Complete Profile From Becoming Unusable

Prevent a CAQH profile from becoming unusable because a license, malpractice certificate, DEA record, or other supporting document expired while the narrative profile stayed accurate.

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05CAQH & commercial credentialing

CAQH vs Payer Credentialing: What CAQH Does—and What It Does Not Finish

CAQH can supply standardized provider data to authorized organizations, but it does not replace a payer’s credentialing, contracting, enrollment, product, roster, or effective-date decisions.

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