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Data directly from the source: Providers

Improve data quality, network management and regulatory compliance with our credentialing solution

Simplify Your Credentialing Workflow

More than 2.5 million providers actively enter and verify their information in the Provider Data Portal. With a single credentialing application — accepted or supported in all 50 states — CAQH eliminates redundant processes,
improves data accuracy, and streamlines network management for health plans. 

Trusted by Providers Nationwide

4.8 M

Provider records across 757 specialties

1.8 M

attested profiles

80 %

Of all US physicians participating

101 K

Participating dentists

Primary Source Verification

The CAQH Primary Source Verification solution validates credentialing information with data from licensing boards, medical schools, government registries and other authoritative sources, delivering greater accuracy, speed and control to plans.

"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

Sanctions Monitoring

98 %

accuracy

in sanctions detection.

NCQA

compliant

Sanctions Monitoring meets NCQA requirements for monitoring license actions, sanctions, and Medicare/Medicaid exclusions. 

700 +

sources

monitored for sanctions.

Provider Credentialing Solutions that Work

Reduce provider abrasion.

Manage networks more efficiently.

Maximize internal resources.