CAQH Registration

TriumpHealth supports healthcare providers with CAQH (Council for Affordable Quality Healthcare) registration as an extension of our credentialing services
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PROVIDER CREDENTIALING & PAYER ENROLLMENT

Streamlined Credentialing Starts with Complete CAQH Setup

At TriumpHealth, we simplify your path to payer enrollment by managing your CAQH Registration, a crucial step for joining insurance networks and getting paid faster. Whether you’re a physician, therapist, behavioral health provider, or office administrator, we’ll ensure your profile is complete, compliant, and up to date in the CAQH ProView data portal.

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What is CAQH and Why It Matters?

The Council for Affordable Quality Healthcare (CAQH) developed ProView, a secure data portal used by most insurance companies to collect and verify provider information. It acts as a centralized system where your:

  • eva arrow up fill 1 Work History
  • eva arrow up fill 1 Education & Training
  • eva arrow up fill 1 Practice Location
  • eva arrow up fill 1 Licensure
  • eva arrow up fill 1 Malpractice Coverage
  • eva arrow up fill 1 Professional IDs & Credentials

are stored for directory management, payer enrollment, and ongoing provider credentialing.

Having a complete and regularly updated CAQH application is essential for streamlining network participation and reducing administrative back-and-forth with payers.

Our CAQH Registration Services Include:

  • eva arrow up fill 1 Creating a CAQH Profile (for first-time users)
  • eva arrow up fill 1 Obtaining your unique CAQH ID
  • eva arrow up fill 1 Submitting accurate user-submitted data such as professional history, affiliations, and references
  • eva arrow up fill 1 Ensuring all mandatory fields are completed
  • eva arrow up fill 1 Uploading documents like CVs, licenses, and insurance certificates
  • eva arrow up fill 1 Performing attestations regularly to maintain active status
  • eva arrow up fill 1 Helping resolve CAQH profile issues or rejections
  • eva arrow up fill 1 Providing continuous support for updates, renewals, and compliance

Let us take over the burden, so you can focus on patient care.

What Information is Required for CAQH Registration?

To successfully complete your CAQH application, we collect and organize:

  • eva arrow up fill 1 Personal & Contact Information
  • eva arrow up fill 1 Professional IDs (NPI, DEA, etc.)
  • eva arrow up fill 1 Education & Training History
  • eva arrow up fill 1 Work History
  • eva arrow up fill 1 Practice & Hospital Affiliations
  • eva arrow up fill 1 Credentialing Contacts
  • eva arrow up fill 1 Professional Liability Insurance
  • eva arrow up fill 1 Disclosure & Attestation Statements
  • eva arrow up fill 1 References

Our team ensures that each section is filled accurately to avoid rejections from insurance companies.

Why Accuracy Matters in CAQH Provider Data

Maintaining accurate and updated CAQH provider data is crucial. Incomplete or outdated information can lead to delays in credentialing, denials from payers, or even loss of participation in provider networks. That’s why we stay vigilant, updating your records and verifying your credentials regularly.

We Maintain Your CAQH So You Don’t Have To

Already have a CAQH account? No problem, we provide ongoing maintenance services, including:

  • eva arrow up fill 1 Profile Audits
  • eva arrow up fill 1 Attestation Tracking
  • eva arrow up fill 1 Prompt Updates
  • eva arrow up fill 1 Re-attestation Alerts

Our experts ensure your profile never lapses, and your data is always verifiable by payers.

Frequently Asked Questions

Q 1: What is the CAQH ID, and how do I get it?
A: The CAQH ID is a unique identifier assigned to you once your profile is created. We’ll handle this process and share it with you securely.

Q 2: Can CAQH registration be used for multiple insurance companies?
A: Yes, a completed profile can be accessed by all participating insurance companies, making it a vital hub for directory management and credentialing.

Q 3: How often should I update my CAQH profile?
A: At minimum, every 120 days. We handle this for you by setting reminders, performing updates, and conducting regular attestations.

Who We Help

Our CAQH Registration services are designed for:

  • eva arrow up fill 1 Physicians & Specialists (MDs, DOs, Dentists)
  • eva arrow up fill 1 Therapists & Counsellors
  • eva arrow up fill 1 Behavioral & Mental Health Providers
  • eva arrow up fill 1 Group Practices & Clinics
  • eva arrow up fill 1 Office Managers & Healthcare Administrators
  • eva arrow up fill 1 Healthcare Executives overseeing network participation

Get Started with CAQH Registration Today

Whether you’re applying for the first time or need help maintaining your CAQH provider data, TriumpHealth is your trusted partner. Call us at (888)-747-3836 X0 or Email us at sales@triumphealth.com

CAQH Registration FAQ

Our Process

1

Initial Consultation and Data Collection

Conduct an initial consultation with the healthcare provider to gather necessary information for CAQH registration, including personal details, contact information, professional credentials, and supporting documentation.
Assist the provider in completing any required forms and obtaining relevant documents such as medical licenses, certifications, and malpractice insurance information.

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2

CAQH Registration and Profile Creation

Complete the registration process on the CAQH ProView platform, ensuring accurate entry of personal and professional information.
Assist with uploading and organizing supporting documents within the CAQH ProView portal, such as medical licenses, DEA registration, board certifications, and malpractice insurance.

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3

Document Verification and Submission

Verify the accuracy and completeness of all entered information and uploaded documents before submission.

Review the completed CAQH profile with the provider to ensure alignment with their credentials and qualifications.

Submit the finalized CAQH profile to CAQH for review and approval on behalf of the provider.

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4

Follow-Up and Maintenance

Monitor the progress of the CAQH registration and profile creation process, addressing any requests or inquiries from CAQH as needed.
Provide ongoing support to the provider in maintaining their CAQH profile, including updates to personal and professional information, and uploading new credentials or documents as necessary.

Ensure compliance with CAQH requirements and deadlines, facilitating smooth credentialing and contracting processes with participating healthcare organizations and health plans.

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Benefits of Working with TriumpHealth

CAQH Registration

1

Easy Set-up

Whether you run a small medical practice or a large FQHC, CAQH Registration can be seamless and straightforward.

2

Timesaving

Automate and submit your credentialing data with ease, saving precious time so you can focus on what matters most – patient care.

3

Compliance Excellence

Stay ahead in the compliance game with tools that keep you aligned with industry standards and regulations.

4

All-in-One Dashboard

Manage all your credentialing information from a single, user-friendly dashboard tailored for healthcare professionals.

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Schedule a consultation today to achieve financial success and regulatory compliance. Let us help you improve patient outcomes while increasing your revenue.