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  3. Provider Data

Improve provider data management and accuracy.

Two million practitioners enter, verify and update professional information in the CAQH Provider Data Portal where it is shared with the health plans they designate. This saves time for providers and improves data quality for payers.

Streamline Credentialing

The nation’s providers and health plans trust CAQH to collect and manage professional information, verify primary sources and monitor for sanctions. The result: streamlined administration, greater regulatory compliance and better provider data management.

Improve Directory Data and Management

The CAQH Directory Management solution draws on data practitioners have entered and confirmed in the Provider Data Portal to eliminate redundant processes, improve directory accuracy and meet state and federal regulatory requirements.

2.4M
Providers enter their professional information in the CAQH Provider Data Portal
1.79M
Provider files that have been verified in the CAQH Directory Management Solution
98.5%
Accuracy of primary sources verified using the CAQH Credentialing Suite

How the most extensive and trusted source of provider data can work for you.

Learn how to get the most out of provider data for credentialing, directory management and other critical business processes.

Proven Tactics for the Provider Credentialing Process

Improving Health Plan Directories for Mental Health Services

The Benefits of Moving to One Platform for Credentialing

Improving the Primary Source Verification Process

DATA SOLUTIONS

CAQH custom provider data management and member data management solutions help healthcare organizations improve networks, provide members more accurate and complete directories and operate more efficiently.
 
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