Healthcare providers https://www.caqh.org/ en CAQH ProView for Groups: FAQs for Delegated Groups https://www.caqh.org/solutions/caqh-proview-groups-faqs-delegated-groups <span>CAQH ProView for Groups: FAQs for Delegated Groups</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Fri, 09/14/2018 - 16:09</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h5>How does CAQH ProView for Groups benefit delegated provider groups?</h5> <p>CAQH ProView for Groups 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.</p> <h5>How can our delegated provider group access CAQH ProView for Groups? </h5> <p>Designate a group administrator and register <a href="https://www.caqh.org/solutions/caqh-proview-groups-registration-provider-groups">here</a>. The group administrator will act as the primary user of CAQH ProView for Groups. </p> <h5>How do I create or update my group roster? </h5> <p>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.</p> <h5>Do provider groups need to submit different rosters for each health plan?</h5> <p>No, delegated groups only need to submit one roster for all participating health plans. </p> <h5>Who can access my group roster data?</h5> <p>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.</p> <h5>How do I share my roster with health plans? Which plans are participating?</h5> <p>Login to CAQH ProView for Groups, 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.</p> <h5>How do health plans know when new roster data has been added?</h5> <p>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.</p> <h5>Does it cost anything to use CAQH ProView for Groups?</h5> <p>There is no charge for delegated groups to use CAQH ProView for Groups. </p> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Fri, 14 Sep 2018 20:09:20 +0000 cmassie@caqh.org 2220 at https://www.caqh.org Provider Groups and Practice Managers https://www.caqh.org/solutions/provider-groups <span>Provider Groups and Practice Managers</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Fri, 09/14/2018 - 16:04</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>Spend less time managing provider credentialing and directory information</p> </h2></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>CAQH ProView for Groups enables provider groups to manage information health plans need for directories, delegated credentialing, and more in one place. </p> <p><strong>Benefits</strong></p> <ul><li>Push location data to individual provider profiles</li> <li>Share one delegated roster with all participating health plans</li> <li>Add data in bulk or directly within the portal</li> <li>See status details for all providers, locations, and plans associated with your group</li> <li>Ensure your data is complete and accurate with automated data validation</li> </ul><p>Available to provider groups and practice managers <strong>at no charge. </strong></p> <p> </p> <table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td> <p><a data-entity-type="" data-entity-uuid="" href="https://www.caqh.org/case-study/standardization-cuts-time-spent-preparing-rosters-half-ballad-health"><img alt="Integrate" data-entity-type="" data-entity-uuid="" height="136" src="/sites/default/files/Integrate%20-%20lightning%20funnel%20-.jpg" width="136" /></a></p> </td> <td> <p><a href="https://www.caqh.org/case-study/standardization-cuts-time-spent-preparing-rosters-half-ballad-health"><strong>Case Study: </strong></a><strong><a href="https://www.caqh.org/case-study/standardization-cuts-time-spent-preparing-rosters-half-ballad-health">Standardization Cuts Time Spent Preparing Rosters In Half at Ballad Health</a></strong></p> <p>Ballad Health sought a more accurate, streamlined way to submit roster updates to the 30 health plans with which it maintains delegation relationships.</p> </td> </tr></tbody></table><p> </p> <p><strong>Register for CAQH ProView for Groups</strong></p> <p>Complete the form below, and a member of our team will set up your free account. </p> <p><iframe allowtransparency="true" frameborder="0" height="380" src="https://go.caqh.org/l/339361/2021-12-06/3tvlhj" type="text/html" width="100%"></iframe></p> <p>Please note: </p> <ul><li>Group Name refers to the Group's Legal Business Name, as it appears on the W-9. </li> <li>Once CAQH creates your account, the Primary Contact can add additional team members.</li> <li>The Registration Form requires only one TIN affiliated with the group; The Primary Contact can add additional TINs directly in the portal. </li> </ul></div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Fri, 14 Sep 2018 20:04:41 +0000 cmassie@caqh.org 2219 at https://www.caqh.org 2018 DecisionHealth Fall National Provider Enrollment Workshop https://www.caqh.org/about/event/2018-decisionhealth-fall-national-provider-enrollment-workshop <span>2018 DecisionHealth Fall National Provider Enrollment Workshop</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Thu, 08/30/2018 - 10:54</span> <div class="field field--name-field-event-type field--type-list-string field--label-hidden field--item">Webinar</div> <div class="field field--name-field-start-date field--type-daterange field--label-hidden field--item"><time datetime="2018-09-16T16:00:00Z">September 16, 2018 | 12:00 PM EDT</time> - <time datetime="2018-09-19T17:45:00Z">September 19, 2018 | 01:45 PM EDT</time> </div> <div class="field field--name-field-location field--type-text-with-summary field--label-hidden field--item"><p>Nashville, TN</p> </div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>After lunch on Monday, September 17, CAQH Product Manager Hassaan Sohail will give a <a href="https://www.decisionhealth.com/medicareenrollment/agenda/day1.html">presentation on CAQH ProView</a>.</p> <p><em><span style="color: rgb(0, 0, 0); font-family: &quot;Open Sans&quot;, sans-serif; font-size: 14px; background-color: rgb(255, 255, 255);">With direct access to CAQH experts you will learn about the industry’s standard and trusted source for self-reported provider data. CAQH ProView continues to be the premier tool for submitting credentialing information and is increasingly being used by health plans to update network directories. You will leave with answers to the most frequently asked questions, including how to prepare for new attestation requirements, as well as how to avoid common errors when completing a CAQH ProView application. The session will conclude with a preview of how CAQH ProView is positioned to reshape the healthcare industry’s approach to provider data.</span></em></p> </div> <span class="a2a_kit a2a_kit_size_36 addtoany_list" data-a2a-url="https://www.caqh.org/about/event/2018-decisionhealth-fall-national-provider-enrollment-workshop" data-a2a-title="2018 DecisionHealth Fall National Provider Enrollment Workshop"><a class="a2a_button_twitter"></a><a class="a2a_button_linkedin"></a><a class="a2a_button_facebook"></a></span> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> Thu, 30 Aug 2018 14:54:02 +0000 cmassie@caqh.org 2197 at https://www.caqh.org Learning Opportunities https://www.caqh.org/solutions/learning-opportunities <span>Learning Opportunities</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Fri, 03/23/2018 - 14:57</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>Looking for more options to connect with CAQH experts and other CAQH ProView users? </p> </h2></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><div class="long-list-text"> <h4>Online Training</h4> </div> <p>CAQH offers <a href="/solutions/caqh-proview-trainings-practice-managers-providers">monthly online trainings</a> for practice managers and providers. Unable to attend a live training? Learn more any time with our <a href="/solutions/caqh-proview-trainings-practice-managers-providers">on-demand training.</a></p> <p> </p> <h4>Support Center</h4> <p>And of course, you can always <a href="https://proview.caqh.org/PR/">log in to CAQH ProView</a> and click the chat icon at the top of any page. Chat support is available Monday - Friday, 8:30 AM - 6:30 PM ET.</p> <p> </p> <h5>Be sure to check back to this page periodically for event updates.</h5> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Fri, 23 Mar 2018 18:57:01 +0000 mwoolston@caqh.org 2103 at https://www.caqh.org CAQH ProView Release Archive for Providers and Practice Managers https://www.caqh.org/solutions/caqh-proview-release-archive-providers-and-practice-managers <span>CAQH ProView Release Archive for Providers and Practice Managers</span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Fri, 02/02/2018 - 10:08</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4 style="box-sizing: border-box; line-height: 1.1; background-color: rgb(255, 255, 255);"><strong style="box-sizing: border-box;">CAQH ProView Scheduled Maintenance:</strong> <strong style="box-sizing: border-box;">May 8 – May 11, 2020 </strong></h4> <p style="box-sizing: border-box; margin: 0px 0px 10px; background-color: rgb(255, 255, 255);"><strong style="box-sizing: border-box;">The CAQH ProView website will be unavailable between Friday May 8th at 6:00pm EST through Monday May 11th at 7:00am EST due to scheduled system maintenance.   </strong></p> <p style="box-sizing: border-box; margin: 0px 0px 10px; background-color: rgb(255, 255, 255);"><strong style="box-sizing: border-box;">If you have questions, please contact the CAQH ProView Support Center at 1-888-600-9802. </strong></p> <h4><strong><a id="2.18.2020" name="2.18.2020"></a>CAQH ProView </strong> <strong>Release for February 18, 2020: </strong></h4> <p>The CAQH ProView release for today, February 18, 2020 is designed to help meet Illinois state requirements. </p> <p><em>The Illinois recredentialing application has been added to CAQH ProView</em><br /><strong><em> </em></strong><br /> With this release, participating organizations are now able to download both the initial and the recredentialing applications for all Illinois providers to help meet state requirements. The recredentialing application is only available for providers who practice in Illinois. <br /><br /> If you practice in Illinois, you are now able to preview your profile data on both the initial and recredentialing applications through the Provider Portal. You will no longer see the Initial or Recredentialing toggle on the Personal Information screen when Illinois is selected as the practice state. </p> <h4> </h4> <h4><a id="7.15.2019" name="7.15.2019"></a>CAQH ProView Release for July 15, 2019</h4> <h5><em>Improved Workflow in CAQH ProView Practice Locations Section</em></h5> <p>The number of steps required to add or update a location has been reduced. </p> <ul><li>If providers indicate that they see patients at the locations, PO Box entries will be restricted. </li> <li>If providers <u>do not</u> see patients at the locations, PO Box entries will be allowed. </li> </ul><p>This update will make it easier to add locations and improve directory accuracy by ensuring more accurate physical locations are able to be published in provider directories. </p> <p><img alt="" class="media-element file-default" data-fid="7092" src="https://www.caqh.org/sites/default/files/solutions/proview/Add%20Practice%20Location.jpg" style="height: 493px; width: 600px;" /></p> <h4> </h4> <h4><strong>Up Next</strong></h4> <h5><em>NPI 1 Validation Coming Soon  </em></h5> <p>For the August 2019 release, providers will be required to enter an NPI 1 and to match the following fields: </p> <table border="1" cellpadding="0" cellspacing="1" style="width: 500px;" width="500"><tbody><tr><td style="width: 241px;"> <p><strong>CAQH ProView</strong></p> </td> <td style="width: 68px;"> </td> <td style="width: 164px;"> <p><strong>NPPES</strong></p> </td> </tr><tr><td style="width: 241px;"> <p>NPI 1 </p> </td> <td style="width: 68px;"> <p>=</p> </td> <td style="width: 164px;"> <p>NPI 1</p> </td> </tr><tr><td style="width: 241px;"> <p>First Name or Other First Name</p> </td> <td style="width: 68px;"> <p>=</p> </td> <td style="width: 164px;"> <p>First Name </p> </td> </tr><tr><td style="width: 241px;"> <p>Last Name or Other Last Name</p> </td> <td style="width: 68px;"> <p>=</p> </td> <td style="width: 164px;"> <p>Last Name </p> </td> </tr></tbody></table><p> </p> <p>Prior to the new requirement being released, if CAQH ProView indicates that your NPI entry does not match what is in NPPES, you may update your NPI 1 value. </p> <h4><a id="3.25.2019" name="3.25.2019"></a>CAQH ProView Release for March 25, 2019</h4> <div> <h5 style="margin-top: 0px; color: black; font-family: Times-New-Roman;"><span style="font-family: Arial, sans-serif;"><i>A Virtual Assistant was Added to the Chat Support Functionality  </i></span></h5> <div style="color: black; font-family: Times-New-Roman; margin-top: 0px;"><span style="font-family: Arial, sans-serif;">CAQH launched an updated chat support functionality for providers, practice managers and participating organizations. Live agents are available during normal business hours 8:30 AM to 6:30 PM EST. A virtual assistant has been added to field questions 24 hours a day, seven days a week.</span></div> <div style="color: black; font-family: Times-New-Roman; margin-top: 0px;"><span style="font-family: Arial, sans-serif;">To activate new chat functionality,</span><span style="font-family: Arial, sans-serif;"> select the icon at the bottom of each screen:</span><img border="0" height="32" hspace="5" name="ACCOUNT.IMAGE.316" src="https://mlsvc01-prod.s3.amazonaws.com/307711c2501/bf4a70d5-426c-4d58-8ff5-a5a6dd65ebb8.jpg" vspace="5" width="21" id="ACCOUNT.IMAGE.316" /> </div> <div align="center" style="color: black; font-family: Times-New-Roman; margin-top: 0px;"> </div> <h5 style="margin-top: 0px; color: black; font-family: Times-New-Roman;"><span style="font-family: Arial, sans-serif;"><em>Specialty Designations are Required for Certain Provider Types  </em></span></h5> <div style="color: black; font-family: Times-New-Roman; margin-top: 0px;"><span style="font-family: Arial, sans-serif;">To increase data accuracy, specialty assignment is required for providers who are Medical Doctors (MD), Osteopathic Doctors (DO), Doctors of Dental Surgery (DDS), or Doctors of Dental Medicine (DMD).  </span></div> </div> <div> <div><span class="ccFontUpdated" style="color: rgb(0, 0, 0);"> </span></div> <h5><span class="ccFontUpdated" style="color: rgb(0, 0, 0);">Employment Gaps are Required to be Addressed</span></h5> <div><span class="ccFontUpdated" style="color: rgb(0, 0, 0);">To reduce health plan outreach, if the provider is currently unemployed, they will be required to account for current employment or offer an explanation when their Employment History record end date is greater than 6 months. North Carolina providers that are currently unemployed are required to account for employment gaps when the Employment History record is greater than 2 months.  </span></div> <div><span class="ccFontUpdated" style="color: rgb(0, 0, 0);"> </span></div> <h5><span class="ccFontUpdated" style="color: rgb(0, 0, 0);">PLI Documents that are in an Approved or Expired Status are No Longer Replaced</span></h5> <div><span class="ccFontUpdated" style="color: rgb(0, 0, 0);">To ensure alignment between your profile and supporting documents, PLI documents that are in an Approved or Expired status no longer have the ability to be replaced. If the PLI documents require updating, you must renew their existing PLI records and upload the new document into the new slot.  </span></div> </div> <h4> </h4> <h4><a id="1.21.2019" name="1.21.2019"></a>CAQH ProView Release for February 4, 2019</h4> <h5>Improved In-Portal Broadcast Communications for Providers</h5> <p>To ensure providers are receiving timely CAQH ProView communications, the in-portal message banner is being enhanced, and will appear at the top of every screen that is accessed.</p> <p><img alt="" class="media-element file-default" data-fid="6874" height="198" src="https://www.caqh.org/sites/default/files/solutions/proview/gray%20bar.PNG" width="658" /></p> <p>A <em>View More</em> will provide a detailed account of the communication.</p> <p>All active messages targeted to the provider will display on this screen for up to a year or until CAQH removes the message.</p> <p><img alt="" class="media-element file-default" data-fid="6875" height="402" src="https://www.caqh.org/sites/default/files/solutions/proview/hospital%20affiliations.jpg" width="653" /></p> <h5> </h5> <h5><em>Social Security Number Validation</em></h5> <p>CAQH ProView will perform real time validation on the data entered into the Social Security Number field to ensure that the data entered is in the correct format and that the value is unique.</p> <ul><li>Area numbers (first three digits) cannot begin with 8 or 9 and cannot be 666 or 000.</li> <li>Group numbers (middle two digits) must have a group range from 01-99.</li> <li>Serial numbers (final four digits) must have a serial number range from 0001-9999.</li> <li>Letters, spaces and special characters are not permitted.</li> </ul><p>Providers who have previously saved a Social Security Number in their profile that does not comply with the validation rules, will see a notification on the <em>Correct Errors</em> page indicating that the value must be corrected before the next attestation.</p> <h5><em>Updated Hospital Domain List</em></h5> <p>The hospitals domain list will be updated to reflect the American Hospital Association values.</p> <ul><li>Providers’ previously selected hospitals will be replaced with the American Hospital Association equivalent, where applicable.</li> </ul><p><img alt="" class="media-element file-default" data-fid="6876" height="373" src="https://www.caqh.org/sites/default/files/solutions/proview/admitting%20privileges.png" width="647" /></p> <ul><li>Providers creating a new hospital affiliation record will select from one of the values in the American Hospital Association list.</li> <li>The address that the American Hospital Association has associated with the hospital will display and save in the provider’s profile as read-only.</li> <li>If providers do not see the desired hospital in the drop-down list, they can select the value of Other from the list and then enter the hospital’s name in the Other Hospital Name field.</li> </ul><p><img alt="" class="media-element file-default" data-fid="6877" height="437" src="https://www.caqh.org/sites/default/files/solutions/proview/hospital%20name_0.png" width="337" /></p> <ul><li>The previously selected values that do not map to the American Hospital Association list will see their hospital name listed in the Other Hospital Name field.</li> </ul><p><img alt="" class="media-element file-default" data-fid="6878" height="360" src="https://www.caqh.org/sites/default/files/solutions/proview/pre%20and%20post%20release.PNG" width="798" /></p> <ul><li>Providers will be required to review their updated hospital affiliations selections on the <em>Correct Errors </em>screen before their next attestion.</li> </ul><p><img alt="" class="media-element file-default" data-fid="6879" height="246" src="https://www.caqh.org/sites/default/files/solutions/proview/subsection.png" width="661" /></p> <h5> </h5> <h5><em>Updated Massachusetts and Oklahoma State Forms</em></h5> <p>Mapping updates will be made to the Massachusetts form to ensure that existing portal profile fields map to the replica.</p> <h4> </h4> <h4> </h4> <h4><a id="12.10.2018" name="12.10.2018"></a>CAQH ProView Release for December 10, 2018</h4> <h5>The Tax Identification Field in the Illinois Application has been Updated</h5> <p>Illinois providers will no longer see the <em>Business Arrangement</em> section of the Practice Locations profile.</p> <p>On the Illinois replica, the <em>Business Arrangement</em> section will populate with the provider’s Tax Identification Number(s) entered in the Practice Location wizard.</p> <p><img alt="" class="media-element file-default" data-fid="6805" height="356" src="https://www.caqh.org/sites/default/files/solutions/proview/tax%20id%20numbers.png" width="821" /></p> <h5> </h5> <h5>The Military Only Practice Value has been Expanded</h5> <p>The Military Only practice value has been expanded to include Federal providers.</p> <p><img alt="" class="media-element file-default" data-fid="6806" height="516" src="https://www.caqh.org/sites/default/files/solutions/proview/military%20only.png" width="812" /></p> <h5> </h5> <h5>Military/Federal Only Providers are No Longer be Required to Enter a Provider License in Each Practice State</h5> <p>Military and other providers who practice in federally managed practices are not always required to maintain a valid license in the state in which they practice.</p> <p>To that end, if a provider selects the Practice Setting value <em>Military/Federal Only,</em> the provider will need to provide a single valid license from any state.</p> <p>The Documents screen will continue to display a License slot for each of their practice states.</p> <ul><li>A provider’s license document will be approved even if the state in which the slot is labeled is different from the state that issued the license.</li> <li>If a provider practices in several states, a License document slot may generate for every state that require an entry however, a copy of a single license will meet the document upload requirement.</li> </ul><p>Help copy was added to the Personal Information screen to assist providers with the Military/Federal Only update.</p> <p><img alt="" class="media-element file-default" data-fid="6807" src="https://www.caqh.org/sites/default/files/solutions/proview/military%20federal%20ii.PNG" /></p> <h5> </h5> <h5>Additional Visa Questions were Added to the Personal Information Screen for Massachusetts Providers to Better Align with the States Credentialing Application</h5> <p>In the <em>Work Permit</em> section of the Personal Information screen, new copy is displayed to assist providers in understanding the updates.</p> <p>Two new optional questions were added to the section:</p> <ul><li>Are you a sponsor?</li> <li>Do you hold permanent immigrant status in the US?</li> </ul><p>Provider data elements will be mapped to the Massachusetts replica in the January 2019 release.</p> <p><img alt="" class="media-element file-default" data-fid="6808" height="552" src="https://www.caqh.org/sites/default/files/solutions/proview/work%20permits.png" width="805" /></p> <h3> </h3> <h4> </h4> <h4><a id="10.22.2018" name="10.22.2018"></a>CAQH ProView Release for October 22, 2018</h4> <h5>The Ability to Update Your Name</h5> <p>If you need to update your name (i.e., marriage, divorce, etc.), you can do so after you attest for the first time. </p> <p><img alt="" class="media-element file-default" data-fid="6778" src="https://www.caqh.org/sites/default/files/solutions/proview/name%20change.PNG" /></p> <p> </p> <h5>The Ability to Create Secure Passwords</h5> <p>To comply with recent security standards, you are required to create more secure passwords.</p> <p><img alt="" class="media-element file-default" data-fid="6779" src="https://www.caqh.org/sites/default/files/solutions/proview/password.PNG" /></p> <p> </p> <h4><a id="09.24.2018" name="09.24.2018"></a>CAQH ProView Release for September 24, 2018</h4> <h5>New Fields Added: Cultural Competency, Accessibility, and Special Experience, Skills and Training</h5> <p>To assist health plans in meeting federal provider directory data requirements, additional fields have been added to the provider portal:</p> <ul><li>Cultural competency – Providers are asked if they have completed a cultural competency training.</li> <li>Special experience, skills and training – Providers can indicate their experience in a predefined list of special interests.</li> <li>Accessibility details – Providers can select specific accessibility values for each of their practice locations.</li> </ul><p><img alt="" class="media-element file-default" data-fid="6740" height="233" src="https://www.caqh.org/sites/default/files/solutions/proview/cultural%20competency%20training.png" width="837" /></p> <p><img alt="" class="media-element file-default" data-fid="6741" height="342" src="https://www.caqh.org/sites/default/files/solutions/proview/special%20expereince%20skills%20and%20training.png" width="756" /></p> <p><img alt="" class="media-element file-default" data-fid="6742" height="743" src="https://www.caqh.org/sites/default/files/solutions/proview/special%20experience%20skills%20and%20trainig%20pt%20ii.png" width="718" /></p> <p><img alt="" class="media-element file-default" data-fid="6743" height="695" src="https://www.caqh.org/sites/default/files/solutions/proview/accessibility.png" width="643" /></p> <p>If you practice in states that use the CAQH application, you will be required to offer a disclosure explanation if you have answered “Yes” to a disclosure question.</p> <p><img alt="" class="media-element file-default" data-fid="6744" height="215" src="https://www.caqh.org/sites/default/files/solutions/proview/licensure.png" width="705" /></p> <p>If you have recently attested, this requirement will be enforced during your next re-attestation.</p> <h4> </h4> <h4><a id="08.20.2018" name="08.20.2018"></a>CAQH ProView Release for August 20, 2018</h4> <h5>Updated Hospital Affiliations Section</h5> <p>To assist you in selecting a hospital from the drop-down menu before manually entering a  name, the "Other (Not Listed)" checkbox was removed from its current location, and instead "Other" was added at the end of the hospital list.  </p> <p>After selecting "Other", a new field displays (titled Other Hospital Name) and you can manually enter your information there.</p> <p><img alt="" class="media-element file-default" data-fid="6699" src="https://www.caqh.org/sites/default/files/solutions/proview/1.PNG" /></p> <p><img alt="" class="media-element file-default" data-fid="6700" src="https://www.caqh.org/sites/default/files/solutions/proview/2.PNG" /></p> <h5><em>System Generated Re-Attestation Emails Will Include Instructions for American Dental Association (ADA) Providers</em></h5> <p>Re-attestation emails to dental providers who registered in CAQH ProView using the ADA.org portal now includes information to help them accurately complete the process.</p> <p><img alt="" class="media-element file-default" data-fid="6701" height="319" src="https://www.caqh.org/sites/default/files/solutions/proview/3.png" width="781" /></p> <p><em>*15, 10, 5 days before expiration, day after expiration, 14, 28, and 42 days after expiration. </em></p> <p> </p> <h5> </h5> <h4><a id="07.23.2018" name="07.23.2018"></a>CAQH ProView Release for July 23, 2018</h4> <h5>Providers Can No Longer Delete Approved AAR and PLI Documents</h5> <p>Once your Authorization, Attestation, and Release Form (AAR) or Professional Liability Insurance (PLI) document is approved, you no longer have the ability to edit or delete the document.</p> <p>With each attestation, your AAR signature is updated. </p> <p>If you wish to update a PLI document, you should <em>Renew </em>your PLI policy.  A PLI slot will generate where you can upload a new file.</p> <h5>Providers are no Longer Able to Update their Social Security Number or Date of Birth</h5> <p>To improve data quality and accuracy, after your fist attestation, your Social Security Number and birth date are no longer editable. </p> <h5>Updated Oklahoma Disclosure Questions</h5> <p>The disclosure questions in the CAQH ProView portal mirror the questions in the state application.</p> <h5>Updated Minnesota Application - Practice Locations</h5> <p>To meet the new state application requirements, you need to indicate if you are accepting new patients at your practice.</p> <h4> </h4> <h4><a id="06.11.2018" name="06.11.2018"></a>CAQH ProView Release for June 11, 2018</h4> <h5><em>North Carolina Providers are Required to Submit Heath Plan Specific Release Forms</em></h5> <p>North Carolina providers who have never attested in CAQH ProView are required to upload an authorization and release (AAR) form for each health plan they have authorized to receive their data in CAQH ProView.</p> <p>For those providers whom have previously attested, while it is not required to upload an AAR for each health plan to re-attest, it is recommended to avoid additional outreach from your contracted health plans.</p> <h5><em>Updated Georgia Application</em></h5> <p>The Georgia credentialing application for providers is updated to reflect the current version.</p> <h5><em>Illinois Providers will be Required to Enter Tax Identification (TIN) Information</em></h5> <p>The TIN field:</p> <ul><li>Requires providers to enter the best business Tax ID Business Type and will be required for every practice location record.</li> <li>Is displayed in the Tax ID section of the data summary.</li> <li>Uses the <em>Business Arrangement</em> tax information. </li> <li>Has been added to the Practice Manager Module.</li> </ul><h5><em>Password Reset Functionality</em></h5> <p>As an added security measure, providers who have entered five failed password entries are directed to reset the information.</p> <h4> </h4> <h4><a id="04.16.2018" name="04.16.2018"></a>CAQH ProView Release for April 16, 2018</h4> <h5>Enhanced Authorization Workflow</h5> <p>The process for authorizing access for organizations to subscribe to your data has been streamlined to reduce redundancies, and now clearly shows the organizations that are accessing your information for credentialing, provider directory improvement and more.</p> <p><img alt="" class="media-element file-default" data-fid="6587" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/authorization%20setting_0.png" style="height: 388px; width: 600px;" /></p> <p>If you would like to self-select the organizations that should receive your information, after the question, “When a healthcare organization subscribes to your data, should CAQH automatically authorize access?” then choose the option, <strong>“No. Ask me to review the organization’s request” </strong>and follow the prompts.</p> <p>If you select <strong>“No. Ask me to review the organization’s request,” </strong>you will see the plans that are actively accessing your data on the Organizations page. Outstanding requests will be indicated as “New” and you will be required to select Authorize, or Do Not Authorize before attestation.</p> <p><img alt="" class="media-element file-default" data-fid="6595" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/organizations.png" style="height: 600px; width: 600px;" /></p> <p>The “Viewing Your Data” column shows a “Yes” if an organization is actively accessing your data, and a “No” if they are not.</p> <p>The Authorization Setting is noted at the bottom of the screen. Providers can change their selection and return to the Authorization Setting page by clicking “Change Setting” in the bottom right-hand corner.</p> <p> </p> <h4><a id="02.20.2018" name="02.20.2018"></a>CAQH ProView Release for February 20, 2018</h4> <h5><em>Colorado Application Update</em></h5> <p>The CAQH ProView state application for Colorado reflects the December 2017 version.</p> <p>Colorado disclosure question “C” reflects the following:</p> <ol><li>Have you ever involuntarily resigned, terminated, or surrendered medical staff privileges or employment from a hospital, group practice or other health care facility or medical staff?</li> <br /><li value="2">Have you ever voluntarily resigned, terminated, or surrendered medical staff privileges or employment from a hospital, group practice or other health care facility or medical staff to avoid disciplinary action or investigation, or while under investigation or while such an investigation is/was pending?  If the provider answers “Yes,” a date is required.</li> </ol><p>New fields have been added to the Professional Liability Insurance section:</p> <ul><li>Claims History Contact</li> <li>Claims History Fax Number</li> <li>Claims History E-mail</li> </ul><h5><em>Massachusetts Application Update</em></h5> <p>Providers practicing in Massachusetts are required to enter tax identification in CAQH ProView.</p> <h5><em>Updates to Picklist Values</em></h5> <p>The following modifications have been made to picklist value for the following fields:</p> <ul><li><strong>Specialty Board Added:</strong> The National Board of Osteopathic Physicians and Surgeons is now included. </li> <li><strong>Additional Specialty Board Modification: </strong>The American Board of Sleep Medicine and the National Board for Certified Clinical Hypnotherapists can now be selected by additional provider types. Also, additional boards are now available for the Hospitalist provider type to select. </li> </ul><h5><em>Provider Training</em></h5> <p>Providers indicating that they have interned, fulfilled a residency, or participated in a fellowship are required to enter relevant data about each opportunity.</p> <h4> </h4> <h4><a id="01.22.2018" name="01.22.2018"></a>CAQH ProView Release for January 22, 2018</h4> <h5><b>Updating Profile Email Address </b></h5> <p>Providers have the ability to retrieve their password by following the retrieval prompts.</p> <p>  <img alt="" class="media-element file-default" data-fid="6499" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/forgot%20password%201.png" /></p> <p> </p> <p>As a security measure, the user must provide specific profile information before a password reset link is dispatched.</p> <p> </p> <p><img alt="" class="media-element file-default" data-fid="6500" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/password%20reset%20link%202.png" /></p> <p> </p> <p>Users also have the ability to update their email address. </p> <p> </p> <p><img alt="" class="media-element file-default" data-fid="6501" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/send%20password%20link%203.png" /></p> <p><img alt="" class="media-element file-default" data-fid="6502" src="https://www.caqh.org/sites/default/files/solutions/proview/resource/email%20reset%20successful%204.png" /></p> <p> </p> <h4 style="box-sizing: border-box; line-height: 1.1; background-color: rgb(255, 255, 255);"> </h4> <h4 style="box-sizing: border-box; line-height: 1.1; background-color: rgb(255, 255, 255);"> </h4> <h4 style="box-sizing: border-box; line-height: 1.1; background-color: rgb(255, 255, 255);"><a id="10.30.2017" name="10.30.2017"></a>CAQH ProView Release for October 30, 2017</h4> <p><strong>Practice Location Data:</strong></p> <p>We have improved the questions and format in CAQH Proview related to practice location and plan participation to reduce the amount of outreach you receive from plans that seek to improve the quality of their directories. </p> <p>The practice location data reconciliation is now a two-step process for many providers. </p> <p>First, <u>all</u> providers will be required to confirm their practice location information during their attestation or re-attestation period.  A pop-up alert will appear inviting you to initiate the process.</p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6413" src="https://www.caqh.org/sites/default/files/pictures/practice-location-pop-up.png" title="ProView update 10.30.2017" /></p> <p> </p> <p>A prompt will also appear on your profile dashboard to address outstanding concerns, including asking you more specific questions about practice locations.</p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6412" src="https://www.caqh.org/sites/default/files/pictures/outstanding-concerns-prompt.png" title="ProView update 10.30.2017" /></p> <p> </p> <p>A new feature has been added to increase location accuracy. You will now be able to copy and/or delete specific data elements in practice locations and archive historical practice location data.  </p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6408" src="https://www.caqh.org/sites/default/files/pictures/archive-historical-practice-location.png" title="ProView update 10.30.2017" /></p> <p> </p> <p>Providers can also accept, reject or respond, “I don’t know” for each health and dental plan provider location.</p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6415" src="https://www.caqh.org/sites/default/files/pictures/providers-accept-reject-respond.png" style="width: 525px; height: 400px;" title="ProView update 10.30.2017" />   <img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6414" src="https://www.caqh.org/sites/default/files/pictures/providers-accept-reject-respond%202.png" style="height: 400px; width: 525px;" title="ProView update 10.30.2017" /></p> <p> </p> <p>Providers archiving their practice location information will need to explain why it should be archived.  The archived information will be housed in the <em>Archived and Rejected Locations</em> table.</p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6407" src="https://www.caqh.org/sites/default/files/pictures/archived-and-rejected-locations-table.png" style="height: 400px; width: 697px;" title="ProView update 10.30.2017" /></p> <p> </p> <p>Most providers in CAQH ProView are rostered by plans that are also using the system to improve their provider accuracy. Those rostered providers will now be required to answer additional questions surrounding plan participation and if they are accepting new patients. </p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6411" src="https://www.caqh.org/sites/default/files/pictures/health-plan-paticipation.png" style="height: 400px; width: 474px;" title="ProView update 10.30.2017" /><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6410" src="https://www.caqh.org/sites/default/files/pictures/health-plan-participation%202.png" style="width: 659px; height: 400px;" title="ProView update 10.30.2017" /></p> <p> </p> <p>As a housekeeping measure, we have removed the <em>Group Number</em> field since it mirrored the information that is housed within the <em>Organizational (Type 2) NPI</em> field.</p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6417" src="https://www.caqh.org/sites/default/files/pictures/tax-information.png" style="height: 246px; width: 525px;" title="ProView update 10.30.2017" /></p> <p> </p> <p> </p> <p><strong>Review and Attestation Screens</strong></p> <p>The review and attention screens are now consolidated to reduce the time it takes to re-attest to profiles.  If you do not have errors, the attestation button is active as soon as you select <em>Review and Attest.</em>   </p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6416" src="https://www.caqh.org/sites/default/files/pictures/review-and-attestation-screen.png" style="height: 400px; width: 650px;" title="ProView update 10.30.2017" /></p> <p> </p> <p> </p> <p><strong>Conditional Employment Gap</strong></p> <p>For providers operating in states that require additional information for employment gaps, instructions will be provided under <em>Employment Information</em> to help guide you through the process.  </p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6409" src="https://www.caqh.org/sites/default/files/pictures/conditional-employment-gap.png" style="height: 400px; width: 680px;" title="ProView update 10.30.2017" /></p> <p> </p> <p> </p> <p><strong>Application Release Documents - Oklahoma</strong></p> <p>You will be required to upload both the CAQH ProView and Oklahoma application release documents (AAR). If you have submitted the AAR and CAQH ProView application, you will now be required to resubmit within the appropriate location on the documents page. System prompts will direct you to that location. </p> <p><img alt="10.30.2017 ProView Update" class="media-element file-default" data-fid="6406" src="https://www.caqh.org/sites/default/files/pictures/application-release-documents-OK.png" style="height: 499px; width: 804px;" title="ProView update 10.30.2017" /></p> <h4> </h4> <h4> </h4> <h4><a id="7.31.2017" name="7.31.2017"></a>CAQH ProView Release for July 31, 2017</h4> <p> </p> <h5 align="left" style="margin-left: 40px;">Practice Location Affiliation</h5> <p style="margin-left: 40px;">Within the Practice Location section, providers will be reminded to respond to the following question:  <br /><br /> Please describe your affiliation with this location.<br /> A list of options will be made available for selection.</p> <p style="margin-left: 80px;"><strong>WHY: </strong>The required questions in the Practice Location section will assist providers in sharing the most relevant, accurate and up-to-date data with health plans.</p> <p style="margin-left: 80px;"><strong>IMPACT:</strong> &lt; 10 minutes per provider.</p> <p style="margin-left: 80px;"><strong>NOTE: </strong>These changes will NOT affect a provider's status in CAQH ProView or the ability for authorized participating organizations to view an already current and complete data profile.</p> <p> </p> <h5 align="left" style="margin-left: 40px;">Colorado Application Update</h5> <p align="left" style="margin-left: 40px;">In continued support of state requirements, the CAQH ProView provider portal will be updated to reflect the Colorado 2016 application.</p> <p align="left" style="margin-left: 40px;">This release will include the following additional questions:</p> <p align="left" style="margin-left: 40px;">In the <strong>Employment Information</strong> section of the profile, a provider will be asked "Is this your current employer?"</p> <ul><li align="left" style="margin-left: 40px;">If the provider answers No, a new field will ask "Are you eligible for rehire?" <ul><li align="left" style="margin-left: 40px;">If the provider answers No to that question, the provider will be required to enter content for: "Please explain."</li> </ul></li> </ul><p align="left" style="margin-left: 40px;">2. In the <strong>Disclosure</strong> section, providers will be asked, "Have you ever voluntarily or involuntarily resigned, terminated or surrendered medical staff privileges or employment from a hospital, group practice or other health care facility or medical staff?"</p> <ul><li align="left" style="margin-left: 40px;">If the provider answers Yes, to that question, providers will be required to enter the Date of Event, fill in a text field for "Please explain" and answer: "Was it to avoid disciplinary action or investigation or while under investigation, or is such an investigation pending? Yes/No. <ul><li align="left" style="margin-left: 40px;">If the provider answers Yes to that question, the provider will be required to enter content for: "Please explain."</li> </ul></li> </ul><p align="left" style="margin-left: 40px;">3. In the <strong>Disclosure</strong> section, providers will be asked the following Yes/No question: "The Colorado Board of Health requires licensed health care facilities to annually report their health care worker influenza vaccination rate and achieve a vaccination rate of at least 90%. To facilitate compliance with this rule, some health care facilities may require annual influenza vaccination of employees and staff. If this facility must comply with the Colorado Board of Health requirements, I agree to provide proof of influenza vaccination before practicing at this facility."</p> <p style="margin-left: 80px;"><strong>WHY: </strong>The Colorado credentialing application is maintained by Colorado Physicians Insurance Company (COPIC). In 2016, COPIC revised the application by introducing additional required questions in their 2016 update.</p> <p style="margin-left: 80px;"><strong>IMPACT:</strong> &lt; 10 minutes per provider.</p> <p> </p> <h4><a id="4.25.2017" name="4.25.2017"></a>Updates Released on April 25, 2017:</h4> <p> </p> <h5 align="left" style="margin-left: 40px;">Confirming Practice Location Phone Numbers</h5> <p style="margin-left: 40px;">In an ongoing effort to improve the accuracy of provider information listed within directories, CAQH ProView will ask providers to confirm that the phone number listed for each practice location is the primary method that patients should use when scheduling an appointment. <br />  </p> <div align="left"> <div style="margin-left: 80px;"><strong>HOW TO PREPARE:</strong> On the Review Screen, the provider will be asked to confirm that the phone number entered in the Office Phone Number field should be used by patients to schedule an appointment.  <br />  <br /><strong>IMPACT: </strong>&lt;1 minute per location entry.<br />  <br /><strong>WHY:</strong> Patients depend on the accuracy of provider directories when choosing a health plan and physicians. Inaccurate directories pose significant challenges for patients, contributing to delays in care, limiting choices of providers and masking problems with network adequacy. <br />  <br /> Improved provider directories will: <div class="long-list-text"> <ul><li>Display an accurate account of the health plan network.</li> <li>Identify providers who are accepting new patients and their contracted insurance coverage.</li> <li>List providers who meet the language and location needs of patients.</li> </ul></div> </div> <p> </p> <p>The “CAQH ProView Update-April 18, 2017” email referenced enhancements to the <em><strong>Hospital Affiliations Admitting Privilege Status</strong></em> slated for release on April 24, 2017. This is incorrect and those enhancements <strong>will not be included</strong>. The CAQH ProView April 24, 2017 system update will focus solely on <em>Confirming Practice Location Phone Numbers</em> as previously communicated. We apologize for any inconvenience this may have caused.</p> <p><br /> CAQH ProView released updates and improvements on Tuesday, January 17th. Although some of these updates may require additional time during your next re-attestation, the enhancements address the ongoing need to increase provider data accuracy within health plan directories, particularly practice location. Healthcare providers benefit when their information is reflected accurately in the directories that patients use to choose their care.</p> </div> <h4> </h4> <h4><a id="1.17.2017" name="1.17.2017"></a>Updates Released on January 17, 2017:</h4> <h5 align="left" style="margin-left: 40px;"> </h5> <h5 align="left" style="margin-left: 40px;">Improved Practice Location Data</h5> <p style="margin-left: 40px;">To assist providers and plans to meet federal and state mandates to improve provider directory accuracy, CAQH ProView now requires practice managers and providers to:</p> <ol><li style="margin-left: 40px;">Review and verify their practice address(es) to ensure the information is correct, and</li> <li style="margin-left: 40px;">Qualify their association with each practice location. For example, providers have the ability to differentiate between the locations where they are continuously practicing versus covering for support personnel</li> </ol><div align="left"> <div style="margin-left: 80px;"> <div><strong>Estimated Time and Resource Commitment for Data Updating and Review: </strong></div> <div>Estimate 1-2 minutes for each location. For each practice location, providers are asked to confirm if they practice at a location and to qualify their affiliation. A termination date will be required for locations where the provider no longer practices.</div> <div><strong>Required Information:</strong></div> <div>Knowledge of a provider's practice location and affiliation. </div> </div> </div> <h5 style="margin-left: 40px;">Organized Practice Location Display</h5> <p style="margin-left: 40px;">Previously, practice locations were cataloged in the order entered by the practice manager and provider. CAQH ProView has changed how practice locations are displayed to assist in managing this information. <br /> Practice locations sharing addresses will be coupled, primary practices will appear at the beginning of the list, and the user will have the ability to filter the information based on the provider location.</p> <p style="margin-left: 80px;"><strong>Estimated Time and Resource Commitment: </strong><br /> 0 minutes; the display updates automatically.<br /><strong>Required Information:</strong><br /> Knowledge of a provider's affiliation with each location.</p> <h5 style="margin-left: 40px;">Expanded Re-attestation Correspondences to Include Second Tiered Contacts</h5> <p style="margin-left: 40px;">CAQH ProView circulates pending re-attestation email alerts to the primary contact listed on each provider profile. To ensure practice managers and providers avoid missing critical credentialing deadlines, CAQH ProView will include second-tiered contacts in its pending re-attestation email alerts. </p> <p style="margin-left: 80px;"><strong>Estimated Time and Resource Commitment: </strong><br /> 0 minutes<br /><strong>Required Information:</strong><br /> None </p> <p style="margin-left: 40px;">These changes do NOT affect a provider's status in CAQH ProView or the ability for authorized participating organizations to view an already current and complete data profile.</p> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Fri, 02 Feb 2018 15:08:19 +0000 mnew@caqh.org 2087 at https://www.caqh.org Share Directory Updates with CAQH ProView https://www.caqh.org/solutions/share-directory-updates-caqh-proview <span>Share Directory Updates with CAQH ProView</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Wed, 01/03/2018 - 10:26</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4>Take the Frustration out of Updating Directories</h4> <p>Patients want to know your practice locations, whether you are accepting new patients, and if their insurance will be accepted. Use CAQH ProView to make sure your patients get correct directory information. </p> <table border="1" cellpadding="1" cellspacing="1" color="gray" style="width:600px; color:gray"><tbody><tr><td> <h4><span style="font-size:16px;"><strong><a href="/solutions/caqh-provider-directory-data-confirmation-solution-participating-organizations">Health plans</a> already using CAQH ProView to update directories include:</strong></span></h4> <ul><li>Blue Cross Blue Shield of Arizona</li> <li>Care1st Health Plan of Arizona</li> <li>CareFirst BlueCross BlueShield</li> <li>CIGNA HealthSpring</li> <li>Health Alliance Plan</li> <li>HealthNow NY</li> <li>Horizon Blue Cross Blue Shield</li> <li>Medical Mutual of Ohio</li> <li>Meridian Health Plan</li> <li>Priority Health Plan</li> <li>United Healthcare<sup>®</sup></li> </ul></td> </tr></tbody></table><h4>Why maintain your directory information in CAQH ProView?</h4> <div class="long-list-text"> <ul><li>The CAQH ProView 'Directory Snapshot' makes it easy to review and update directory changes at any time.</li> <li>Use a single process to share directory changes with multiple health plans.</li> <li>Reduce the number of requests you are receiving for directory information from your network health plans.</li> <li>Leverage your CAQH ProView profile to simplify directory maintenance, not just credentialing.</li> </ul></div> <h5> </h5> <h5>Featured Resources</h5> <div class="long-list-text"> <ul><li><strong><a href="/sites/default/files/solutions/directassure/directory-maintenance-provider-fact-sheet.pdf">Fact Sheet</a></strong>: Take the Frustration out of Updating Directories.</li> <li><strong><a href="/sites/default/files/solutions/directassure/directory-best-practices-checklist.pdf">Best Practices Checklist</a></strong>: Are your patients getting correct directory information?</li> <li><strong><a href="/sites/default/files/solutions/directassure/guide-to-submitting-directory-changes.pdf">Guide</a></strong>: Submitting Directory Changes in CAQH ProView.</li> <li><strong><a href="/sites/default/files/solutions/directassure/directory-maintenance-template-letter-to-health-plans.docx">Template Letter to Health Plans</a></strong> Requesting Use of CAQH ProView for Directory Maintenance.</li> </ul></div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/directassure" hreflang="en">DirectAssure</a></div> </div> Wed, 03 Jan 2018 15:26:35 +0000 mwoolston@caqh.org 2069 at https://www.caqh.org Use CAQH ProView to Share Directory Updates https://www.caqh.org/solutions/use-caqh-proview-share-directory-updates <span>Use CAQH ProView to Share Directory Updates</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Tue, 10/24/2017 - 11:30</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4>Take the Frustration out of Updating Directories</h4> <p>Patients want to know your practice locations, whether you are accepting new patients, and if their insurance will be accepted. Use CAQH ProView to make sure your patients get correct directory information. </p> <p>Did you know that the information you enter into CAQH ProView is used by <a class="ga-event" gaevent="DA-PE-landing" href="/solutions/caqh-provider-directory-data-confirmation-solution-participating-organizations" title="part-orgs">many health plans</a> to update their directories?</p> <h4>Keep your directory information up-to-date in CAQH ProView. </h4> <p>Each time there is a change to your directory information, simply update your CAQH ProView profile, review your CAQH ProView 'Directory Snapshot' and instantly share changes with multiple health plans. You can easily make and share changes at any time. Be sure to ask your network health plans to use CAQH ProView to update their directories.</p> <h4>Why maintain your directory information in CAQH ProView?</h4> <div class="long-list-text"> <ul><li>The CAQH ProView 'Directory Snapshot' makes it easy to review and update directory changes at any time.</li> <li>Use a single process to share directory changes with multiple health plans.</li> <li>Reduce the number of requests you are receiving for directory information from your network health plans.</li> <li>Leverage your CAQH ProView profile to simplify directory maintenance, not just credentialing.</li> </ul></div> <h5> </h5> <h5>Featured Resources</h5> <div class="long-list-text"> <ul><li><strong><a href="/sites/default/files/solutions/directassure/directory-maintenance-provider-fact-sheet.pdf">Fact Sheet</a></strong>: Take the Frustration out of Updating Directories.</li> <li><strong><a href="/sites/default/files/solutions/directassure/directory-best-practices-checklist.pdf">Best Practices Checklist</a></strong>: Are your patients getting correct directory information?</li> <li><strong><a href="/sites/default/files/solutions/directassure/guide-to-submitting-directory-changes.pdf">Guide</a></strong>: Submitting Directory Changes in CAQH ProView.</li> <li><strong><a href="/sites/default/files/solutions/directassure/directory-maintenance-template-letter-to-health-plans.docx">Template Letter to Health Plans</a></strong> Requesting Use of CAQH ProView for Directory Maintenance.</li> </ul></div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/directassure" hreflang="en">DirectAssure</a></div> </div> Tue, 24 Oct 2017 15:30:44 +0000 mwoolston@caqh.org 2025 at https://www.caqh.org Dentist FAQs https://www.caqh.org/solutions/dentist-faqs <span>Dentist FAQs</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Tue, 10/10/2017 - 09:04</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h5>Does it cost anything to use CAQH ProView?</h5> <p>There is no cost for dentists and other health care providers to use CAQH ProView.</p> <h5>Do I need to be an ADA member to participate?</h5> <p>No, any U.S. practicing dentist can participate. If you are a non-member and would like to get started, <a href="https://ebusiness.ada.org/FirstTimeLoggingInPo3.aspx?PO3ORGAPICODE=CAQHPRW89798928" target="_blank">click here</a> to learn more about how to log in.</p> <h5>Why does CAQH ProView ask for such detailed professional and practice information?</h5> <p>Detailed practice information helps ensure that CAQH ProView participating dental plans and other healthcare organizations can obtain all the information they need without having to conduct any follow up with physicians or other healthcare providers. The form's broad scope also ensures that participating organizations can better maintain and improve provider directories and data systems.</p> <h5>How long should it take to complete my profile in CAQH ProView?</h5> <p>Once you’ve gathered all your documents, the process of completing your CAQH ProView profile should take you about an hour, or longer if you have more information to provide. Once you have attested, your file and documents will be reviewed by CAQH, a process that will take a few days. After that it will be available to the organizations you have authorized.</p> <h5>Do I need to complete my entire profile?</h5> <p>Yes, you must complete all profile questions; however, the system is designed to allow you to complete your profile over time. You can stop any time, save what you have completed, and return later to finish the process. The entire profile must be completed prior to your attestation to its accuracy, and before the participating dental plans and other participating organizations you have authorized can access it.</p> <h5>Is ADA sharing all the information within MY ADA profile with CAQH ProView? Is CAQH ProView sharing all my information with ADA?</h5> <p>No, only certain data elements are being shared between the two systems. Select information from My ADA will initially pre-populate your CAQH ProView profile, reducing the time required for you to enter data. In the future, when you update your information within CAQH ProView, the system will share that select data with MY ADA, helping ensure that your professional and practice information stays consistent in both places, and reducing your administrative time and burden.</p> <h5>Can any dental plan access my data?</h5> <p>No, you control who has access to your information – and participating organizations are not allowed access without your authorization. When completing the CAQH ProView profile, you will be asked to select which dental plans and other participating organizations you give authorization to access your data. Most healthcare providers allow all participating plans and organizations to access their data.  Only the plans you’re contracted will have access to your information.</p> <h5>How do I know if the dental plans I contract with are using CAQH ProView? What if they are not currently participating?</h5> <p>A current list of dental plans participating in CAQH ProView is available <a href="/solutions/caqh-proview-list-participating-organizations#dental">here</a>. New plans are joining all the time, so please check the list often. If your contracted dental plans are not participating in CAQH ProView, ask them to do so.</p> <h5>Do I need to notify dental plans participating in CAQH ProView that I have completed my CAQH ProView profile?</h5> <p>No. Dental plans and other participating organizations that you authorize to view completed data will automatically be notified by CAQH.</p> <h5>What does it mean to “attest” to my data in CAQH ProView?</h5> <p>After you enter your professional and practice data within CAQH ProView, you must personally attest to its accuracy.</p> <h5>What if my practice information changes?</h5> <p>You should always keep your practice information, and other professional data, up-to-date in CAQH ProView. This is especially important when that information is used to update provider directories of health and dental plans. You may log into ADA/org/godigital and make updates at any time. However, you <u>will be required</u> to review your data and re-attest to its accuracy every 120 days. The CAQH ProView system will send you reminders by email about the need to review and re-attest.</p> <h5>I recently received an email from CAQH ProView, asking me to re-attest to my profile. What does that mean?</h5> <p>After you complete your CAQH ProView profile, the system will notify you every 120 days to re-attest that all information is still correct and complete – or to update it if not. This enables a dentist’s contracted dental plans to access CAQH ProView profile information based on their different re-credentialing cycles. Please note that a dental plan or other participating organization will be unable to access your data unless you have completed the re-attestation process.</p> <h5>Does this mean I need to completely revise my profile every 120 days?</h5> <p>No, you only need to review the information already in your profile that you previously completed, update any information that has changed and re-attest to its accuracy. In most cases, this will only take a few minutes.</p> <h5>Does my profile created in CAQH ProView meet the NCQA requirements for credentialing application content in CR3, Element C?</h5> <p>Yes, the NCQA website clarifies that CAQH ProView system data meets the requirements in CR3, Element C, and is acceptable in either electronic or PDF format. There is no automatic credit for the application. NCQA reviews CAQH ProView output against the appropriate elements.</p> <h5><em>Whom can I contact for help or if I have any questions about CAQH ProView?</em></h5> <p>Within CAQH ProView, you can click the chat icon at the top of any page to ask a question. You can also call:</p> <ul><li>The ADA Member Service Center at 800.621.8099.  Monday – Friday 8:30am – 5:00pm (CT) or via email at <a href="mailto:msc@ada.org">msc@ada.org</a>.</li> <li>CAQH Help Desk at 888-599-1771. Monday – Thursday: 7 AM – 9 PM (ET) and Friday: 7 AM – 7 PM (ET)</li> </ul></div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Tue, 10 Oct 2017 13:04:27 +0000 mwoolston@caqh.org 2001 at https://www.caqh.org MGMA Annual Conference https://www.caqh.org/about/event/mgma-annual-conference <span>MGMA Annual Conference</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Thu, 10/05/2017 - 14:56</span> <div class="field field--name-field-event-type field--type-list-string field--label-hidden field--item">Conference</div> <div class="field field--name-field-start-date field--type-daterange field--label-hidden field--item"><time datetime="2017-10-08T04:00:00Z">October 08, 2017 | 12:00 AM EDT</time> - <time datetime="2017-10-11T04:00:00Z">October 11, 2017 | 12:00 AM EDT</time> </div> <div class="field field--name-field-location field--type-text-with-summary field--label-hidden field--item"><p>Anaheim, CA</p> </div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Stop by booth #1531 at the <a href="http://www.mgma.com/annual-conference/why-attend">MGMA Annual Conference</a> to get a sneak peek of the enhanced features that will debut in the next release of CAQH ProView.<!--break--> For those providers interested in EnrollHub, the preferred EFT / ERA solution, there will be an EnrollHub specialist on-site conducting live demonstrations.</p> </div> <span class="a2a_kit a2a_kit_size_36 addtoany_list" data-a2a-url="https://www.caqh.org/about/event/mgma-annual-conference" data-a2a-title="MGMA Annual Conference"><a class="a2a_button_twitter"></a><a class="a2a_button_linkedin"></a><a class="a2a_button_facebook"></a></span> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-large" hreflang="en">CAQH at Large</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> Thu, 05 Oct 2017 18:56:24 +0000 cmassie@caqh.org 1995 at https://www.caqh.org VeriFide FAQs for Providers and Practice Managers https://www.caqh.org/solutions/verifide-faqs-providers-and-practice-managers <span>VeriFide FAQs for Providers and Practice Managers</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Mon, 04/03/2017 - 17:06</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h5>Why was VeriFide developed? </h5> <p>Both health plans and healthcare providers have expressed concern about the inefficient, repetitive process associated with the verification of provider data during credentialing and re-credentialing/</p> <p>In order to reduce these inefficiencies, CAQH worked with our member health plans to develop a new solution designed to more accurately, completely and easily verify provider data. Our goal is to reduce the burden for plans and providers inherent in the current process. </p> <h5><span>Is CAQH a certified credentials verification organization (CVO)?</span></h5> <p>Yes, CAQH is certified as a <a href="http://www.caqh.org/sites/default/files/ncqa-certificates.pdf?token=x3P82BiJ">Credentials Verification Organization</a> (CVO) through the National Committee for Quality Assurance (NCQA). </p> <h5>How does VeriFide work?</h5> <p>VeriFide leverages data from CAQH ProView<sup>®</sup>, which is trusted by over 1.9 million providers to report and regularly attest to their professional and practice information. </p> <p>Supported by an experienced staff, VeriFide uses advanced automated technologies to compare the self-reported provider information to primary sources for accuracy. </p> <p>CAQH uses the NCQA standardized set of 14 data elements to verify each provider’s professional information:</p> <ul><li>License to practice</li> <li>DEA and CDS certificates</li> <li>Education and training </li> <li>Board certification</li> <li>Work history</li> <li>Malpractice history (NPDB)</li> <li>License sanctions (NPDB)</li> <li>Medicare/Medicaid Sanctions (NPDB)</li> <li>Hospital privileges</li> <li>Current malpractice coverage</li> <li>Current attestation and disclosure questions</li> <li>Office of the Inspector General sanction check</li> <li>System for Award sanction check</li> <li>Medicare opt-out check</li> </ul><p>Where necessary, VeriFide staffers may contact the provider to confirm specific information. </p> <h5>How is VeriFide different from other primary source verification solutions?</h5> <p>What differentiates VeriFide from other primary source verification solutions is its:</p> <ul><li><strong>Seamless integration with CAQH ProView.</strong> <ul><li>VeriFide is able to automatically access the provider data in CAQH ProView to begin the verification process.</li> </ul></li> <li><strong>Automation with most primary data sources.</strong> <ul><li>VeriFide deploys advanced automated technologies that compare each provider’s information against primary data sources for accuracy.  By reducing manual processes, it takes less time to work on a provider file, and also reduces the likelihood of human error.  </li> </ul></li> <li><strong>Standardization of data elements for quicker credentialing.</strong> <ul><li>Each health plan participating in VeriFide agrees to use the industry-wide, standard set of NCQA key data elements that must be verified. This is the information deemed essential for the credentialing process.</li> </ul></li> <li><strong>Industry-wide alignment of provider credentialing dates.</strong> <ul><li>NCQA requires health plans to re-credential providers at least once every three years.  This process is conducted in different months by different plans, creating duplication for providers contracting with multiple health plans. To reduce this inefficient and duplicative process, over time VeriFide will align credentialing dates for providers, so that each will have a dedicated recredentialing date among all health plans.   </li> </ul></li> </ul><h5>What are the benefits that providers will experience using VeriFide?</h5> <p>When health plans use VeriFide, the providers in their networks should experience:</p> <ul><li>A reduction in time from initial credentialing to network participation and payment.</li> <li>Reduced outreach to practice staff by multiple health plans. </li> <li>Less confusion caused by inconsistent credentialing requirements across plans.</li> <li>Dynamic updates to all participating plans designated by the provider.</li> </ul><h5>Please explain the process by which VeriFide will align the provider credentialing dates across the industry. </h5> <p>Each health plan is required by NCQA to re-credential healthcare providers in their network every three years. VeriFide will create an “anchor date.” This is a specific month within the 36-month cycle when the provider will be re-credentialed for all participating health plans.</p> <p>To achieve this anchor date, each health plan’s re-credential date for a provider will be brought forward (i.e., moved up earlier) several months each year to bring it closer to the anchor date.  Since re-credentialing dates for each provider vary greatly from plan-to-plan, it will take several years to achieve this goal. So that providers remain compliant with NCQA requirements during this transition, the re-credential date will be progressively moved earlier, and never moved later.</p> <p>Once this alignment goal is achieved across the industry, each provider’s data will only need to be verified once, at a specific point in time, every three years. Their information will be shared concurrently with each health plan participating in VeriFide.</p> <h5>Will healthcare providers be charged a fee to participate in this service?</h5> <p>VeriFide will utilize the data entered into CAQH ProView to complete verification, which will continue to be available free of charge to providers.</p> <h5>What do I need to do to participate in this solution?</h5> <p>Providers currently using CAQH ProView should continue to maintain their data profiles, updating their information and re-attesting when necessary.</p> <p>When a provider’s contracted health plans begin to use VeriFide for the credentialing process, access to the most up-to-date provider data in CAQH ProView will help speed the verification process.</p> <h5>How can I encourage the health plans with which I contract to use VeriFide?</h5> <p>Please inform your network health plans that you would like them to use VeriFide for the credentialing verification process. They should <a href="https://www.caqh.org/solutions/request-product-demo">schedule a product demo</a>. </p> <h5>Where can I go for more information? </h5> <p>Visit the <a href="http://www.caqh.org/solutions/primary-source-verification">CAQH website</a> for more information about this solution.</p> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/article" hreflang="en">Article</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/healthcare-providers" hreflang="en">Healthcare providers</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/verifide" hreflang="en">VeriFide</a></div> </div> Mon, 03 Apr 2017 21:06:08 +0000 cmassie@caqh.org 1894 at https://www.caqh.org