Provider Data Management

Managing provider data has never been simpler.  

The suite of provider data management solutions by CAQH ensures that health plans have the high-quality provider information needed for a range of business uses including credentialing, directories, sanctions monitoring and EFT/ERA enrollment.   

Developed in collaboration with health plans and providers, these CAQH Solutions improve data accuracy, reduce administrative burden and costs, streamline businesses processes and mitigate compliance risks.

These CAQH provider data management solutions include:

CAQH ProView® – Eases the burden of provider data collection, maintenance and distribution. Used by more than 1.4 million providers to self-report their professional information.

DirectAssure® – Improves provider directory quality by enabling providers to easily review and update their self-reported professional data for use in health plan directories.

VeriFide – Is a primary source verification solution that improves the quality, speed, and integrity of provider data provided to plans while reducing the overlapping, non-differentiating business processes associated with credentialing. CAQH is an NCQA-certified CVO.

SanctionsTrack® – Delivers comprehensive, multi-state information of healthcare provider licensure disciplinary actions.

EnrollHub® – Reduces costly paper checks with one-stop provider enrollment with multiple health plans for electronic payments and electronic remittance advice.

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