CAQH ProView https://www.caqh.org/ en CAQH ProView - Dental FAQs https://www.caqh.org/solutions/caqh-proview-dental-faqs <span>CAQH ProView - Dental FAQs</span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Thu, 07/01/2021 - 16:33</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4 a="" id="dental-plans">Dental Plan FAQs</h4> <h5>What is CAQH ProView?</h5> <p>CAQH ProView is an online provider data solution. It streamlines provider data collection, maintenance and sharing by using a standard electronic form that meets the needs of nearly every health and dental plan, hospital, provider group and other healthcare organization.</p> <p>CAQH ProView enables dentists, physicians and other healthcare professionals in all 50 states, the District of Columbia and U.S. territories to enter information free-of-charge into a secure central database and authorize healthcare organizations to access that information. CAQH ProView eliminates redundant paperwork and reduces administrative burden.</p> <h5>How does this service make it easier for dentists to credential with my dental plan?</h5> <p>In two important ways: First, once a dentist completes their CAQH ProView profile, it can be shared with any participating dental plan, eliminating the need to fill out duplicative credentialing applications for each plan. </p> <p>Second, any U.S. practicing dentist can participate in this service by logging into ADA.org/godigital, clicking on “My Credential” and accepting the terms and conditions. They will be redirected to CAQH ProView, where specific information from the ADA has been automatically entered into their credentialing application - making it easier and quicker for the dentist to complete and attest.</p> <h5>How does CAQH ProView ensure that dentists keep their information up-to-date?</h5> <p>Dentists can update their information any time their practice or professional data changes. Automatic reminders also encourage dentists to review and attest to their information every 120 days so that their CAQH ProView profiles remain timely and accurate. The system will also prompt users if their licenses or other documentation is about to expire.</p> <h5>What types of organizations are able to access dentist data in CAQH ProView?</h5> <p>Every dental and health plan may use CAQH ProView if they choose to participate. Other healthcare organizations that handle credentialing functions on behalf of dental or health plans – or that have their own need for credentialing – may also use the solution. However, in all cases, healthcare providers must submit authorization for the organizations they choose to have access to their information.</p> <h5>Can organizations other than dental plans participate in CAQH ProView?</h5> <p>Yes. Over 900 organizations currently participate in CAQH ProView, including health plans, third party administrators, hospitals, health systems and provider groups-practices.</p> <h5>Does it cost anything to use CAQH ProView?</h5> <p>There is no cost for dentists or other healthcare providers to use CAQH ProView. Dental plans and other healthcare organizations using CAQH ProView pay administrative fees and an annual fee per provider to access the solution.</p> <h5>Does the provider data 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 requirement 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> <h4 id="dentists">Dentist FAQs</h4> <h5>What is CAQH ProView?</h5> <p>CAQH ProView is an online provider data solution. It streamlines provider data collection, maintenance and sharing by using a standard electronic form that meets the needs of nearly every health and dental plan, hospital, provider group and other healthcare organization.</p> <p>CAQH ProView enables dentists, physicians and other healthcare professionals in all 50 states, the District of Columbia and U.S. territories to enter information free-of-charge into a secure central database and authorize healthcare organizations to access that information. CAQH ProView eliminates redundant paperwork and reduces administrative burden.</p> <h5>How does this service make it easier for dentists to credential with my dental plan?</h5> <p>In two important ways: First, once a dentist completes their CAQH ProView profile, it can be shared with any participating dental plan, eliminating the need to fill out duplicative credentialing applications for each plan. </p> <p>Second, any U.S. practicing dentist can participate in this service by logging into ADA.org/godigital, clicking on “My Credential” and accepting the terms and conditions. They will be redirected to CAQH ProView, where specific information from the ADA has been automatically entered into their credentialing application - making it easier and quicker for the dentist to complete and attest.</p> <h5>How does CAQH ProView ensure that dentists keep their information up-to-date?</h5> <p>Dentists can update their information any time their practice or professional data changes. Automatic reminders also encourage dentists to review and attest to their information every 120 days so that their CAQH ProView profiles remain timely and accurate. The system will also prompt users if their licenses or other documentation is about to expire.</p> <h5>What types of organizations are able to access dentist data in CAQH ProView?</h5> <p>Every dental and health plan may use CAQH ProView if they choose to participate. Other healthcare organizations that handle credentialing functions on behalf of dental or health plans – or that have their own need for credentialing – may also use the solution. However, in all cases, healthcare providers must submit authorization for the organizations they choose to have access to their information.</p> <h5>Can organizations other than dental plans participate in CAQH ProView?</h5> <p>Yes. Over 900 organizations currently participate in CAQH ProView, including health plans, third party administrators, hospitals, health systems and provider groups-practices.</p> <h5>Does it cost anything to use CAQH ProView?</h5> <p>There is no cost for dentists or other healthcare providers to use CAQH ProView. Dental plans and other healthcare organizations using CAQH ProView pay administrative fees and an annual fee per provider to access the solution.</p> <h5>Does the provider data 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 requirement 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> </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> Thu, 01 Jul 2021 20:33:08 +0000 mnew@caqh.org 3227 at https://www.caqh.org Why Provider Credentialing Is a Necessary Hassle and a Vital Safeguard https://www.caqh.org/about/newsletter/2021/why-provider-credentialing-necessary-hassle-and-vital-safeguard <span>Why Provider Credentialing Is a Necessary Hassle and a Vital Safeguard</span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Wed, 04/07/2021 - 14:06</span> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">April 2021</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h3>What is provider credentialing or physician credentialing?</h3> <p>Provider credentialing is a regulated process of assessing the qualifications of specific types of providers. This important safety check requires providers such as doctors, dentists, and other allied healthcare professionals to show they have the proper education, training and licenses to care for patients. Hospitals and health plans verify the information supplied by the provider before they are included as an in-network provider.</p> <p>The Centers for Medicare and Medicaid Services (CMS) and the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) also require this credentialing process. CMS requires it before a provider can be eligible for Medicare or Medicaid reimbursement. And most hospitals pursue a Joint Commission accreditation to demonstrate their commitment to providing high-quality care.</p> <h3>How the provider credentialing process works</h3> <p>There are several steps in the provider enrollment and credentialing process. A provider has to complete this process with every health plan they want to enroll with.</p> <ol><li>The provider supplies the information required, including contact information, current CV, education and training history, licensing and certificates, medical group and hospital affiliations, Board certifications, sanctions or malpractice history, proof of liability insurance and peer references.</li> <li>The health plan or provider organization checks that all the information is correct and up to date.</li> <li>If no problems are encountered, the provider organization or health plan awards a credential to the provider.</li> </ol><p>The provider credentialing process can take as little as 30 days to complete up to as much as six months or more, particularly if the credentialing information is being transmitted via fax or mail.</p> <h3>Resources for health plans to speed up credentialing</h3> <p>Long credentialing processes cause significant financial challenges for health plans, hospitals, providers and patients. CAQH offers several <a href="https://www.caqh.org/solutions/credentialing-solutions-suite">solutions to streamline the provider credentialing process</a> for health plans and providers.</p> </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> Wed, 07 Apr 2021 18:06:44 +0000 mnew@caqh.org 3193 at https://www.caqh.org Improving the Delegated Roster Process: A Webinar with Blue Cross Blue Shield of Tennessee and Ballad Health https://www.caqh.org/about/event/improving-delegated-roster-process-webinar-blue-cross-blue-shield-tennessee-and-ballad <span>Improving the Delegated Roster Process: A Webinar with Blue Cross Blue Shield of Tennessee and Ballad Health </span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Wed, 07/31/2019 - 15:49</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="2019-08-14T18:00:00Z">August 14, 2019 | 02:00 PM EDT</time> - <time datetime="2019-08-14T19:00:00Z">August 14, 2019 | 03:00 PM EDT</time> </div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Join us on August 14, 2019 from 2-3 pm ET to hear from a health plan and a delegated group who are both using CAQH ProView for Groups to better share and manage delegated data.<br /><br /> What you will learn:</p> <ul><li>Why BCBSTN and Ballad Health chose to partner with CAQH</li> <li>Their process for implementing CAQH ProView for Groups</li> <li>How the solution is benefiting both sides</li> <li>Best practices for adopting a similar process at your organization</li> </ul><p><strong>Resources: </strong></p> <ul><li><a href="http://go.caqh.org/l/339361/2019-07-18/65klq">Presentation Recording</a> </li> </ul></div> <span class="a2a_kit a2a_kit_size_36 addtoany_list" data-a2a-url="https://www.caqh.org/about/event/improving-delegated-roster-process-webinar-blue-cross-blue-shield-tennessee-and-ballad" data-a2a-title="Improving the Delegated Roster Process: A Webinar with Blue Cross Blue Shield of Tennessee and Ballad Health "><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/health-plans" hreflang="en">Health plans</a></div> </div> Wed, 31 Jul 2019 19:49:18 +0000 mnew@caqh.org 2508 at https://www.caqh.org CAQH ProView for Groups is Improving Delegated Roster Processes https://www.caqh.org/about/newsletter/2019/caqh-proview-groups-improving-delegated-roster-processes <span>CAQH ProView for Groups is Improving Delegated Roster Processes</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Wed, 07/31/2019 - 15:36</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>Industry momentum increases as additional provider groups participate and a leading third party vendor integrates Groups-compatible rosters</p> </h2></div> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">July 2019</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4>Webinar: Improving the Delegated Roster Process</h4> <p>Health plans and delegated provider groups are invited to an <a href="http://go.caqh.org/l/339361/2019-07-18/65klq">August 14 webinar</a> to hear from industry peers who are using CAQH ProView for Groups to share delegated data. Presenters from a regional health plan and delegated group will explain how the solution is changing their approach to delegated data and best practices for implementing a similar process. <a href="http://go.caqh.org/l/339361/2019-07-18/65klq">Learn more or register here</a>.</p> <h4>MD-Staff generates CAQH ProView for Groups-compatible rosters</h4> <p>Now delegated provider groups can automatically generate rosters to upload directly into <a href="https://www.caqh.org/solutions/caqh-proview-groups">CAQH ProView for Groups</a>. MD-Staff, a powerful, user friendly, enterprise-level credentialing system used by more than 1,200 facilities nationwide offers CAQH ProView for Groups-compatible rosters. This feature makes it easy for large, delegated provider groups to share credentials and other information with multiple health plans at once. <a href="https://www.caqh.org/about/press-release/md-staff-caqh-work-together-make-sharing-provider-data-easier-and-more-accurate">Learn more</a> about how this collaboration streamlines data sharing for delegated groups and plans.</p> <h4>More groups starting to use solution each month</h4> <p>Provider organizations that have recently adopted CAQH ProView for Groups include:</p> <ul><li>Children's Clinics for Rehabilitative Services</li> <li>Texas Tech University Health Science Center-Odessa</li> <li>Sandstone Care LLC</li> <li>Little Spurs Pediatric Urgent Care, PLLC</li> <li>TransCentury - Texas Professional Healthcare Alliance</li> </ul><p>To learn more about how this solution simplifies the data maintenance and sharing process between delegated provider groups and health plans, visit the <a href="https://www.caqh.org/solutions/caqh-proview-groups">CAQH ProView for Groups webpage</a>.</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-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> Wed, 31 Jul 2019 19:36:15 +0000 mwoolston@caqh.org 2506 at https://www.caqh.org 2019 NADP Converge https://www.caqh.org/about/event/2019-nadp-converge <span>2019 NADP Converge</span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Thu, 06/27/2019 - 12:32</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="2019-09-16T04:00:00Z">September 16, 2019 | 12:00 AM EDT</time> - <time datetime="2019-09-19T04:00:00Z">September 19, 2019 | 12:00 AM EDT</time> </div> <div class="field field--name-field-location field--type-text-with-summary field--label-hidden field--item"><p>Orlando, FL </p> </div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>We will be conducting a <a href="http://nadpconverge.org/dzdemos">DZ Demo</a> on Wednesday, September 18 at 12:42 pm. Drop by to learn how to improve directory accuracy with DirectAssure - powered by CAQH ProView. </p> <p>Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.</p> </div> <span class="a2a_kit a2a_kit_size_36 addtoany_list" data-a2a-url="https://www.caqh.org/about/event/2019-nadp-converge" data-a2a-title="2019 NADP Converge"><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/health-plans" hreflang="en">Health plans</a></div> </div> Thu, 27 Jun 2019 16:32:32 +0000 mnew@caqh.org 2487 at https://www.caqh.org Participation in CAQH ProView for Groups Continues to Grow https://www.caqh.org/about/newsletter/2019/participation-caqh-proview-groups-continues-grow <span>Participation in CAQH ProView for Groups Continues to Grow</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Thu, 05/30/2019 - 08:52</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>Integrated portal creates seamless transition between two CAQH Solutions</p> </h2></div> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">May 2019</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><div> <p>Late last year, CAQH launched <a href="https://www.caqh.org/solutions/caqh-proview-groups">CAQH ProView for Groups</a> to simplify the way data is shared between delegated provider groups and health plans. This first-of-its-kind functionality replaces the highly manual processes widely used today with an intuitive, efficient module within CAQH ProView.</p> <p>With CAQH ProView for Groups, delegated groups no longer need to maintain a separate file for each contracted plan. Instead, they can submit one standardized file through a centralized portal, which automatically checks for errors. Participating plans then receive higher quality provider data that can be easily uploaded into their systems and online directories.</p> <p>Since its inception, interest in this solution from both health plans and groups has continued to grow. Today 19 health plans and 28 provider groups have signed on.</p> <p>Participating groups include:</p> </div> <div> <ul><li>George Washington Medical Faculty Associates</li> <li>Greater Baltimore Medical Center</li> <li>Jackson Clinic PA</li> <li>Lahey Health</li> <li>LifeBridge</li> <li>Michigan Medicine</li> <li>Olney Open MRI LLC</li> <li>Professional Services of Kansas University</li> <li>Progressive MRI LLC</li> <li>Progressive Radiology of Illinois LLC</li> <li>St. Jude Children’s Hospital</li> <li>TransCentury - Texas Professional Healthcare Alliance</li> <li>University Physicians Association Inc</li> <li>University of Toledo (OHIO)</li> <li>Via Christi Health</li> <li>Washington Imaging Associates of DC LLC</li> <li>Watson Clinic</li> </ul></div> <p>Health plans interested in learning more about CAQH ProView for Groups should contact <a href="mailto:wchang@caqh.org">Warren Chang</a>. Provider groups, including hospitals and large practices, should contact <a href="mailto:mwoods@caqh.org">T</a><a href="mailto:tlongmire@caqh.org?subject=Interest%20in%20Groups%20(Catalyst)">aj Longmire</a>.</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-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> Thu, 30 May 2019 12:52:35 +0000 mwoolston@caqh.org 2381 at https://www.caqh.org AI Technology is Improving Provider Directories https://www.caqh.org/about/newsletter/2019/ai-technology-improving-provider-directories <span>AI Technology is Improving Provider Directories</span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Tue, 03/26/2019 - 16:10</span> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">March 2019</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Artificial Intelligence developed by CAQH is now making it possible to <a href="https://medium.com/@caqh/can-ai-fix-healthcare-provider-directories-eb55c0616c78?source=friends_link&amp;sk=2a95a8062e7579e26ae2e4cecafd0351">increase the accuracy of healthcare provider directories</a>, without contacting the provider.</p> <p>This new technology is helping plans overcome a longstanding challenge -- Incomplete, inaccurate and outdated provider data has been a pervasive problem for the healthcare system for years. However, the stakes increased when the Centers for Medicare and Medicaid Services (CMS) began conducting annual reviews of Medicare Advantage online provider directories in 2016. Since then, failure to maintain accurate provider directory information leaves health plans subject to thousands of dollars in fines for each subscriber.</p> <p>Historically, the best method to verify provider information has been to make phone calls, but that option is both expensive and burdensome. According to CAQH estimates, reducing provider outreach alone could save about $91 million annually for health plans. Total savings resulting from better data quality will likely be much higher.</p> <p>CAQH AI integrates an extensive source of provider-attested data, as well as information from multiple third-party sources. The technology draws on <a href="/solutions/caqh-proview">CAQH ProView</a><sup>®</sup>, which more than 1.4 million providers routinely use to share professional and demographic information. Through ongoing sample audits, CAQH is continually improving the model’s identification of good and bad data. Ultimately, more accurate directory information should have a positive downstream impact on access to care.</p> <p>Read the recent <a href="/about/press-release/caqh-develops-artificial-intelligence-improve-provider-directory-accuracy">CAQH press release</a> to learn more.</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-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, 26 Mar 2019 20:10:56 +0000 mwoolston@caqh.org 2300 at https://www.caqh.org Supporting Delegated Provider Data Management https://www.caqh.org/about/newsletter/2019/supporting-delegated-provider-data-management <span>Supporting Delegated Provider Data Management </span> <span><span lang="" about="/users/mwoolstoncaqhorg" typeof="schema:Person" property="schema:name" datatype="">mwoolston@caqh.org</span></span> <span>Thu, 02/28/2019 - 09:17</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>MD-Staff Generating CAQH ProView for Groups-compatible Rosters</p> </h2></div> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">February 2019</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>The traditional model of sharing data between delegated healthcare provider groups and health plans is complex for all parties. Plans frequently receive delegated group information in varying formats and at different times. Delegated groups must maintain unique rosters and change reports for each plan, and typically do not know when plans process their data.</p> <p>Applied Statistics &amp; Management Inc. (ASM), through its credentialing system MD-Staff, is working with CAQH to simplify the way groups share provider information with health plans. MD-Staff now automatically generates rosters that can be uploaded directly into <a href="https://www.caqh.org/solutions/caqh-proview-groups">CAQH ProView for Groups</a>.</p> <p>CAQH ProView for Groups is a new feature of <a href="/solutions/caqh-proview">CAQH ProView</a>, which is the industry standard for sharing self-reported provider information. With the new functionality, plans receive cleaner provider data with less manual effort, greater transparency and faster data validation. Delegated groups can upload one standard roster file. CAQH ProView for Groups then performs over 120 automated quality checks on roster submissions, so 72 percent of common roster errors are corrected before being sent to plans. Once information is shared, groups can see the exact date and time each plan downloads their file.</p> <p>Read the <a href="/about/press-release/md-staff-caqh-work-together-make-sharing-provider-data-easier-and-more-accurate">press release</a> to learn more about how MD-Staff and CAQH ProView for Groups are working together. For a first-hand look at how CAQH ProView for Groups streamlines the data sharing process, see this <a href="http://go.caqh.org/caqhproview-groups-012019">on-demand webinar</a>.</p> <p>Health plans working with delegated provider groups should <a href="mailto:sales@caqh.org">contact CAQH</a> to find out which groups are already using the solution and to request templates for inviting additional groups to get started with 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/health-plans" hreflang="en">Health plans</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> Thu, 28 Feb 2019 14:17:25 +0000 mwoolston@caqh.org 2285 at https://www.caqh.org Streamlining Delegated Roster Sharing: On-demand Recording Available https://www.caqh.org/about/event/streamlining-delegated-roster-sharing-demand-recording-available <span>Streamlining Delegated Roster Sharing: On-demand Recording Available</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Fri, 01/04/2019 - 11:32</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><p>Webinar with Centene Corporation</p> </h2></div> <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="2019-01-24T18:00:00Z">January 24, 2019 | 01:00 PM EST</time> - <time datetime="2019-01-24T19:00:00Z">January 24, 2019 | 02:00 PM EST</time> </div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Learn how the <a href="http://go.caqh.org/caqhproview-groups-012019">Centene Corporation is using CAQH ProView for Groups</a> to simplify the process of managing and sharing roster data with their delegated groups.</p> <p><strong>Resources: <a href="http://go.caqh.org/caqhproview-groups-012019">Presentation Recording</a></strong></p> <div class="field field-name-field-resource-list-title field-type-text field-label-hidden" style="box-sizing: border-box; font-size: 1.2em; font-weight: 600; margin: 0.75em 0px 0.3em; color: rgb(34, 34, 34); background-color: rgb(255, 255, 255);"> <div class="field-items" style="box-sizing: border-box;"> <div class="field-item even" style="box-sizing: border-box;"> </div> <div class="field-item even" style="box-sizing: border-box;"><strong>What you’ll learn:</strong></div> </div> </div> <ul><li>Why Centene chose CAQH ProView for Groups</li> <li>How Centene is using the data</li> <li>Improvements they have seen in their data-sharing process</li> <li>How their delegated groups are using the system</li> </ul><div class="field field-name-field-resource-list-title field-type-text field-label-hidden" style="box-sizing: border-box; font-size: 1.2em; font-weight: 600; margin: 0.75em 0px 0.3em; color: rgb(34, 34, 34); background-color: rgb(255, 255, 255);"><!--Button--> <center> <table align="left" cellpadding="0" cellspacing="0" style="width:280px;" width="100%"><tbody><tr><td align="left" style="padding: 10px;"> <table border="0" cellpadding="0" cellspacing="0" class="mobile-button"><tbody><tr><td align="left" bgcolor="#a32136" style="background-color: #a32136; margin: auto; max-width: 600px; -webkit-border-radius: 5px; -moz-border-radius: 5px; border-radius: 5px; padding: 15px 20px; " width="100%"><!--[if mso]>&nbsp;<![endif]--><a href="http://go.caqh.org/caqhproview-groups-012019" style="16px; font-family: Helvetica, Arial, sans-serif; color: #ffffff; font-weight:normal; text-align:center; background-color: #a32136; text-decoration: none; border: none; -webkit-border-radius: 5px; -moz-border-radius: 5px; border-radius: 5px; display: inline-block;" target="_blank"><span style="font-size: 16px; font-family: Helvetica, Arial, sans-serif; color: #ffffff; font-weight:normal; line-height:1.5em; text-align:center;">Access the On-demand Recording</span> </a> <!--[if mso]>&nbsp;<![endif]--></td> </tr></tbody></table></td> </tr></tbody></table></center> </div> </div> <span class="a2a_kit a2a_kit_size_36 addtoany_list" data-a2a-url="https://www.caqh.org/about/event/streamlining-delegated-roster-sharing-demand-recording-available" data-a2a-title="Streamlining Delegated Roster Sharing: On-demand Recording Available"><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/health-plans" hreflang="en">Health plans</a></div> </div> Fri, 04 Jan 2019 16:32:08 +0000 cmassie@caqh.org 2261 at https://www.caqh.org CAQH Offers Solutions Suite to Improve Credentialing Process https://www.caqh.org/about/newsletter/2018/caqh-offers-solutions-suite-improve-credentialing-process <span>CAQH Offers Solutions Suite to Improve Credentialing Process </span> <span><span lang="" about="/users/mnewcaqhorg" typeof="schema:Person" property="schema:name" datatype="">mnew@caqh.org</span></span> <span>Mon, 11/05/2018 - 11:42</span> <div class="field field--name-field-display-date field--type-timestamp field--label-hidden field--item">November 2018</div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>In response to the growing need for more streamlined and accurate provider credentialing, CAQH established an <a href="https://www.caqh.org/solutions/credentialing-solutions-suite">end-to-end process</a> that simplifies data collection, primary source verification and sanctions monitoring.<!--break--> The Credentialing Suite includes three prominent CAQH Solutions -- <a href="https://www.caqh.org/solutions/caqh-proview">CAQH ProView</a>®, <a href="https://www.caqh.org/solutions/verifide">VeriFide</a>™ and <a href="https://www.caqh.org/solutions/sanctionstrack">SanctionsTrack</a>® -- enabling health plans to improve data quality and increase the speed of the credentialing process. The Suite eliminates redundant steps and continuously alerts plans to infractions and sanctions. <strong>Read more about the benefits of adopting the Credentialing Suite </strong><a href="https://www.caqh.org/solutions/credentialing-solutions-suite"><strong>here</strong></a><strong>.</strong></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/health-plans" hreflang="en">Health plans</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> Mon, 05 Nov 2018 16:42:24 +0000 mnew@caqh.org 2241 at https://www.caqh.org