CAQH ProView is an online provider data solution. It streamlines provider data collection, maintenance and sharing by using a standard electronic form that meets the needs of nearly every health and dental plan, hospital, provider group and other healthcare organization.
Provider credentialing is a regulated process of assessing the qualifications of specific types of providers. This important safety check requires providers such as doctors, dentists, and other allied healthcare professionals to show they have the proper education, training and licenses to care for patients. Hospitals and health plans verify the information supplied by the provider before they are included as an in-network provider.
Join us on August 14, 2019 from 2-3 pm ET to hear from a health plan and a delegated group who are both using CAQH ProView for Groups to better share and manage delegated data.
What you will learn:
Resources:
Industry momentum increases as additional provider groups participate and a leading third party vendor integrates Groups-compatible rosters
Health plans and delegated provider groups are invited to an August 14 webinar to hear from industry peers who are using CAQH ProView for Groups to share delegated data. Presenters from a regional health plan and delegated group will explain how the solution is changing their approach to delegated data and best practices for implementing a similar process. Learn more or register here.
We will be conducting a DZ Demo on Wednesday, September 18 at 12:42 pm. Drop by to learn how to improve directory accuracy with DirectAssure - powered by CAQH ProView.
Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.
Integrated portal creates seamless transition between two CAQH Solutions
Late last year, CAQH launched CAQH ProView for Groups to simplify the way data is shared between delegated provider groups and health plans. This first-of-its-kind functionality replaces the highly manual processes widely used today with an intuitive, efficient module within CAQH ProView.
Artificial Intelligence developed by CAQH is now making it possible to increase the accuracy of healthcare provider directories, without contacting the provider.
MD-Staff Generating CAQH ProView for Groups-compatible Rosters
The traditional model of sharing data between delegated healthcare provider groups and health plans is complex for all parties. Plans frequently receive delegated group information in varying formats and at different times. Delegated groups must maintain unique rosters and change reports for each plan, and typically do not know when plans process their data.
Learn how the Centene Corporation is using CAQH ProView for Groups to simplify the process of managing and sharing roster data with their delegated groups.
Resources: Presentation Recording
In response to the growing need for more streamlined and accurate provider credentialing, CAQH established an end-to-end process that simplifies data collection, primary source verification and sanctions monitoring.
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