CAQH Tips

Keep your CAQH profile from lapsing.

Seven habits that keep payers from pausing your enrollment. Written for solo providers and new practice owners who handle their own credentialing.

1

Re-attest before the 120-day deadline

CAQH ProView asks you to re-attest every 120 days. Miss it and payers may see your profile as out of date. Set a calendar reminder for day 100, not day 119.

2

Upload renewed documents the day you get them

State license, DEA, malpractice certificate, and board certification all expire. An expired document on file can stall a payer's review even when your real one is current.

3

Authorize every payer you're applying to

Payers can only view your profile if you grant them access. Check the authorization settings each time you start a new enrollment.

4

Explain every work history gap

Gaps of six months or more usually need a short written explanation. Add it upfront so the payer doesn't have to come back and ask.

5

Use month and year on every date

Education, training, and work history dates should be in MM/YYYY format and match your CV exactly. Mismatches are one of the most common reasons for follow-up requests.

6

Update practice locations when anything changes

New address, new suite number, new phone, new hours. Outdated location details can send claims and mail to the wrong place.

7

Keep one folder with every current document

A single folder with your license, DEA, malpractice certificate, board certification, CV, and W-9 makes every new enrollment and re-attestation take minutes instead of hours.

These are general tips. Each payer sets its own requirements, so always check the specific payer's enrollment instructions.

Your document checklist

Have these ready before you start or update a CAQH profile.

  • State license(s)
  • DEA certificate, if applicable
  • Malpractice insurance certificate
  • Board certification
  • CV with MM/YYYY dates
  • W-9
  • NPI number(s)
  • Hospital affiliation details

Rather not deal with any of this?

CAQH setup starts at $150. Ongoing maintenance is $50 a quarter, and I handle every re-attestation.

See CAQH pricing