Leading Health Plans Adopt CAQH Solution to Streamline Provider Directories in Tennessee

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WASHINGTON, DC - 01/23/2019

Leading managed care plans in Tennessee have adopted CAQH ProView  to increase the accuracy of provider data in the state. Participating plans include Amerigroup Tennessee, BlueCross BlueShield of Tennessee, and UnitedHealthcare.

Across the nation, policymakers and industry stakeholders are determined to find a solution to the burdensome and highly manual process of maintaining up-to-date provider directories. High quality directory data helps ensure patients have access to accurate provider information, so they can find providers who accept their insurance and receive the care they need. Health plans in Tennessee are keenly focused on improving provider directory accuracy and have adopted CAQH ProView to streamline the process.

“TennCare applauds the collaborative efforts of the Tennessee Medicaid MCOs (BlueCare, UnitedHealthcare Community Plan, Amerigroup Community Care) to leverage a solution that simplifies the process for providers to submit provider directory updates,” said Dennis Elliot, Director of Provider Services, TennCare. “CAQH ProView is a system that plans and providers already know and trust.”

CAQH ProView is used by more than 1.4 million healthcare providers nationwide—including 97 percent of providers in Tennessee—to share their professional and practice information with participating health plans. The solution is also used by nearly 1,000 health plans, hospitals and provider groups, which saves millions of dollars in annual administrative costs across the healthcare system.

“We are thrilled to be working with health plans in Tennessee as they implement CAQH ProView to improve provider data,” said Robin Thomashauer, President, CAQH. “Implementing a shared solution to improve provider directories in Tennessee sets a model for the nation to collaboratively solve provider data problems.”

Participating plans will adopt CAQH ProView throughout 2019, streamlining the process for Medicaid providers in the state to update directory information. Health plans in Tennessee will continue to collaborate and work with the provider community to increase awareness of CAQH ProView and the benefits of this shared solution.