Skip to main content
Top left menu
  • Providers
  • Health Plans
  • Login
    Top Login Menu
    • ProView Login
      Provider Data Portal
    • COB Smart Login
      Member Data Portal
    • Participant Dashboard
      CORE Participant Login
Home
  • About
    About CAQH
    About CAQH
    • About
    • Board of Directors
    • Leadership
    • Careers
     
    • Blog
    • News
    • Media Kit
    Connect. Solve. Transform.

    CAQH data solutions, operating rules and research help nearly 1,000 health plans, 2 million providers and government entities connect, exchange information and operate more efficiently.

    See Open Positions
  • CORE
    About CORE
    About CORE
    • CORE
    • CORE Participation
      • Participation Overview
      • Participating Organizations
      • Priority Topics
      • Current Initiatives
    • CORE Certification
      • Certification Overview
      • Certification Process
      • Certification Enforcement
      • Certified Organizations
    • CORE Operating Rules
    • CORE FAQs
     
    • Board
    • Resource Library
    • Participant Dashboard
    Help shape the healthcare landscape

    CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities.

    Join CORE
  • Solutions
    About Solutions
    About Solutions
    • Solutions
    • Provider Data
      • Overview
      • Credentialing Suite
      • Primary Source Verification
      • Sanctions Monitoring
      • Directory Management
    • Member Data
      • Overview
      • Coordination of Benefits
      • Medicaid Solutions
    • Interoperability
      • Overview
      • Endpoint Directory
     
    • Custom Data Solutions
    • Consulting Services
    Provider and member data solutions

    Connecting, solving and transforming healthcare business challenges.

    Request Demo
  • Insights
    About Insights
    About Insights
    • Insights
    • Index Report
    • Industry Research
    The CAQH Index Report

    The Index is the authoritative source of information on the healthcare industry’s progress toward more automated and efficient business processes.

    Learn More
  • Resources
    Resources
    Resources
    • Resources
    • Blog
    • Case Studies
    • Fact Sheets
    • Events
     
    • FAQs
    • CAQH University
    • Support
    CAQH Resources

    FAQs, Case Studies, Issue Briefs, and more.

    Discover
Top left menu
  • Providers
  • Health Plans
  • Login
    Top Login Menu
    • ProView Login
      Provider Data Portal
    • COB Smart Login
      Member Data Portal
    • Participant Dashboard
      CORE Participant Login

Search

Breadcrumb

  1. Home
  2. Solutions
  3. CAQH Provider Data: FAQs for Delegated Groups

CAQH Provider Data: FAQs for Delegated Groups

How does CAQH Provider Data benefit delegated provider groups?

CAQH Providre Data enables delegated provider groups to submit a single roster, check it for accuracy and share it with all their health plans in a secure and easy-to-use web portal. Automated workflows notify health plans when new data is available and eliminate the need to prepare and send interim change reports. Delegated groups can see when each plan has downloaded the file. This solution is available to groups at no cost to them.

How can our delegated provider group access CAQH Provider Data? 

Designate a group administrator and register here. The group administrator will act as the primary user of CAQH Provider Data. 

How do I create or update my group roster? 

Log in to your account and download the CAQH Provider template and insert your provider data. Next, download the Practice Locations template and insert your group data. Once your templates are complete, upload your files. Your templates will be checked for errors. If errors are found, you will be able to see and resolve any inaccuracies using the auto-generated error report. Once your files are uploaded, you may assign providers to the locations where they practice.

Do provider groups need to submit different rosters for each health plan?

No, delegated groups only need to submit one roster for all participating health plans. 

Who can access my group roster data?

Group administrators can authorize which health plans have roster access, and the standardized roster format ensures each heath plan only receives plan-specific roster data.

How do I share my roster with health plans? Which plans are participating?

Login to the Provider Data Portal, then search for participating plans and authorize (or de-authorize) which health plans have roster access. Your authorized health plans will be automatically notified when your new roster data is available, eliminating the need for you to send and track emails and attachments.

How do health plans know when new roster data has been added?

Authorized health plans automatically receive an email notification when new provider data is submitted and can download it on-demand. Roster history is tracked and recorded, eliminating the need to exchange acknowledgements and status checks by email and telephone.

Does it cost anything for delegated groups to use CAQH Provider Data?

No, there is no charge for delegated groups. 

Main navigation
  • About
  • CORE
  • Solutions
  • Insights
  • Resources
NewCo Logo
Contact
2020 K Street, NW
Suite 900
Washington, DC 20006
twitter linkedin
  • Terms of Service
  • Privacy Policy
  • Careers
  • Contact
© 2023 CAQH
About
  • About
  • Board of Directors
  • Leadership
  • Careers
  • Separator
  • Blog
  • News
  • Media Kit
CORE
  • CORE
  • CORE Participation
  • CORE Certification
  • CORE Operating Rules
  • CORE FAQs
  • Separator
  • Board
  • Resource Library
  • Participant Dashboard
Solutions
  • Solutions
  • Provider Data
  • Member Data
  • Interoperability
  • Separator
  • Custom Data Solutions
  • Consulting Services
Insights
  • Insights
  • Index Report
  • Industry Research
Resources
  • Resources
  • Blog
  • Case Studies
  • Fact Sheets
  • Events
  • Separator
  • FAQs
  • CAQH University
  • Support