We offer the most comprehensive 
provider and member data in the U.S.
 
                            
                            
                         Streamline 
the Experience
CAQH connects 1,000 health plans to over 4 million provider records to simplify provider data management.
 
                            
                            
                         Optimize 
Operations
We share accurate, timely data to maximize key business operations, like credentialing, directory management and coordination of benefits.
 
                            
                            
                         Reduce
 Industry Costs
We gather and analyze healthcare business data and provide automation insights that save time, cut costs, and boost administrative efficiency for all.
 
                            
                            
                         Keep Care
 at the Center
We work to simplify the business-side of healthcare so providers and patients can spend more time focused on health outcomes.
Trusted by stakeholders from across the healthcare ecosystem
to make healthcare work better
      4.8M+
 provider
 records
    
      1000
health plans
and other
entities
    
     100%
national health
plan participation
    
     235M+
member
records
    
     10 federally
mandated
operating rules
    
Thought Leadership
Insights & Events
 
      VIDEO
Transforming Healthcare for the Next Generation: Providers, Payers, and Beyond
This session at Connect 2024 explores the future of healthcare with insights on innovations in provider support, healthcare delivery, prevention, and business models.
 
      REPORT
Provider Directories: What Impacts Accuracy
This Spring 2024 issue brief outlines the challenges of maintaining accurate provider directories along with federal and state initiatives that are driving improvements. The brief also sheds lights on some innovative solutions to reduce provider burden and enhance data quality.
 
      CASE STUDY
Blue Cross and Blue Shield of Alabama: Proven Strategies for Improving Provider Credentialing Processes
Read this 2023 case study to learn how BCBSAL uses the CAQH Credentialing Suite to obtain provider data, verify primary sources, monitor sanctions and streamline operations.
