CAQH ProView

According to a recent CAQH ProView® provider data analysis, dentists who share their professional and practice information with multiple plans using a single platform are far more likely to keep their information updated than those who use multiple methods.

Specifically, almost 90 percent of dentists who use ProView to share provider data with 10 or more dental plans, keep their profile current — meaning they attest to the accuracy of their self-reported data every four months.

Dental provider credentialing, a process most often associated with a dentist contracting with an insurance carrier, can be cumbersome for both dentists and dental plans.

One reason is related to slow adoption of automated solutions resulting in continued reliance on paper-based submissions of enrollment applications. Even when automated solutions are used, a dentist may need to access a separate platform to complete the enrollment application for each contracted plan.

What is provider credentialing or physician credentialing?

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.