Provider Data Management

Managing provider data has never been simpler.  

Provider data management services by CAQH ensures that health plans have the high-quality provider information needed for a range of business uses including credentialing, directories and, sanctions monitoring.   

Developed in collaboration with health plans and providers, the provider data management solutions improve data accuracy, reduce administrative burden and costs, streamline businesses processes and mitigate compliance risks.

The provider data management services:

  • Eases the burden of provider data collection, maintenance and distribution.  Used by more than 1.9 million providers to self-report their professional information.
  • 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.
  • Delivers comprehensive, multi-state information of healthcare provider licensure disciplinary actions.
  • Improves provider directory quality by enabling providers to easily review and update their self-reported professional data for use in health plan directories.





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