Health Plans
CAQH data solutions help plans streamline operations, reduce costs, gain insights and deliver a better experience to providers, groups and members.
Better Data For Better Decisions.
With advanced analytics and a one-of-a-kind repository of healthcare data, CAQH solutions help payers make more informed decisions and transform business processes.
Improved Network Relations
CAQH reduces the need for plans to contact practices to obtain and update credentialing and directory information. This reduces administrative burdens and improves network relations.
Automated And Efficient Processes
The CAQH cloud-based platform automates business processes, replaces provider outreach calls and letters and reduces administrative costs.
Data Driven
The CAQH Provider Data Portal includes professional and practice data on 2 million healthcare practitioners in every state. Because this information is submitted, updated and confirmed by the providers themselves, it is the most comprehensive and accurate data source of its kind. The CAQH Member Data Portal supplies coverage information for 200 million members and is an unmatched tool for improving payment integrity.
providers
have a complete profile
providers
have attested within 120 days
of physicians
use CAQH solutions to enter and update information
dentists
have a complete profile
Industry Endorsed
Health plans that serve 9 out of 10 commercial lives rely on CAQH to streamline business processes, access a wealth of accurate and actionable data, and deliver a better experience to both providers and members.
"Accessing quality data is fast and easy. The credentialing solution has improved our credentialing process tremendously."
Credentialing Specialist Lead
"The COB solution sells itself. Add to that a transparent pricing model and outstanding service and technical support, and you've got a wining combination."
Team Lead - COB & Medicare Claims
"My account manager has an understanding of our unique needs and is able to translate that insight to support our directory management and credentialing initiatives."
Supervisor, Provider Operations
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Reduce provider abrasion. Manage networks more efficiently. Maximize internal resources.
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