The Council for Affordable Quality Healthcare (CAQH) is an industry-leading organization that streamlines the credentialing process for healthcare providers. By centralizing provider information into a single, secure system, CAQH allows healthcare organizations and insurance companies to verify credentials efficiently, ensuring compliance with industry standards. This reduces administrative burdens, minimizes errors, and accelerates provider enrollment, making it a critical component in today’s healthcare landscape.
At MedQuik Solutions, we specialize in managing the CAQH credentialing process for healthcare providers. Our dedicated team handles the entire process, from profile creation and data management to timely re-attestations and updates. We ensure your credentials are always accurate and compliant.
Whether you’re a solo practitioner or part of a large healthcare organization, we provide personalized solutions to meet your credentialing needs and ensure a seamless experience with insurance companies and health plans. Let us take the complexity out of credentialing.
At MedQuik, we understand how critical it is for healthcare providers to stay credentialed and maintain accurate information with health plans, hospitals, and insurance networks. We offer a complete end-to-end CAQH credentialing service designed to make the process hassle-free.
From creating and managing your CAQH ProView profile to ensuring regular updates and re-attestations, our team handles every step with precision and efficiency. We work diligently to ensure that your information is complete, accurate, and submitted on time, minimizing delays in your credentialing approvals.
Whether you're new to CAQH or need to update an existing profile, our experts will manage the creation or maintenance of your account. We ensure all necessary data, including your professional qualifications, work history, and practice details, are accurately recorded.
We help gather all necessary documents, such as licenses, certifications, insurance, and more, making sure they are current and comply with credentialing requirements. Our team meticulously verifies the details before submission to avoid errors or omissions that could delay the process.
We take care of the data entry process, ensuring that every field in your CAQH profile is correctly completed. Once everything is in place, we submit your profile for credentialing with various health plans and organizations.
Credentialing isn’t a one-time process. With re-attestations required every 120 days, we take charge of managing your CAQH profile continuously, ensuring all data remains up to date, and re-attestations are completed on time, keeping you compliant and avoiding interruptions in your network participation.
Should any issues arise during the credentialing process, such as missing information or questions from insurance networks, we handle all follow-ups and communications on your behalf to resolve them quickly and efficiently.
With CAQH, you only need to maintain one profile that can be used for credentialing with multiple health plans and insurance companies. This saves time by eliminating the need to fill out separate applications for each insurer.
By reducing redundant paperwork and automating key aspects of credentialing, CAQH helps providers save time and reduce costs associated with managing credentials manually. This allows you to focus more on patient care and less on administrative tasks.
CAQH provides a secure platform that ensures your sensitive information is stored and shared in compliance with industry regulations. Health plans can access your information securely, ensuring a smoother credentialing process.
With CAQH, updating your profile when your credentials change is straightforward. We manage all updates and re-attestations on your behalf, ensuring that your profile remains active and compliant. Our team handles re-attestations every 120 days, so you never miss a deadline or risk having your profile become inactive.
Maintaining an accurate and current CAQH profile increases your visibility with health plans, improving your chances of being credentialed by more insurers. We ensure that your profile is always complete and compliant, helping you get credentialed faster and increasing your access to a larger patient base.
The CAQH ProView system standardizes the credentialing process across insurers, reducing the chance of errors or missing information. This leads to quicker approvals and more seamless participation in insurance networks.
Getting started is easy! In our initial consultation, we assess your needs and explain the credentialing process step-by-step. We’ll discuss the specific requirements for your CAQH profile and answer any questions you may have. This phase allows us to gather a clear understanding of your practice and ensure a customized approach to your credentialing needs.
Once we’ve established your needs, our team will help you gather all the required documents and details, such as licenses, certifications, work history, and insurance information. We ensure every piece of data is accurate and up-to-date to avoid any delays in the credentialing process.
With all the necessary information in hand, our team meticulously enters your data into the CAQH ProView system, ensuring every field is completed correctly. We handle the entire submission process, confirming that your profile meets all credentialing requirements before it’s sent to insurance companies and health plans.
Credentialing doesn’t end with submission. We manage your CAQH profile on an ongoing basis, handling regular re-attestations and ensuring your information remains up to date. Our team takes care of all updates and re-certifications, so you stay compliant and credentialed without any disruptions to your practice.
Professional Licenses (State medical licenses, DEA license, etc.)
Proof of Liability Insurance (Malpractice or professional liability coverage)
Education and Training Documents (Medical school diplomas, residency/fellowship certificates)
Board Certifications
Current CV (Curriculum Vitae)
Hospital Privileges and Affiliations
Work History (Minimum of five years)
Personal Identification (Driver’s license, passport)
Medicare/Medicaid Participation Documentation (If applicable)
IRS Form W-9 (Taxpayer Identification Number and Certification)
Controlled Dangerous Substance (CDS) Registration (If applicable)
National Provider Identifier (NPI) Number
Tax Identification Number (TIN) (If applicable)
State Identification Numbers (Any state-specific healthcare provider numbers)
Timely Re-Attestation : With us, you never have to worry about missing a deadline. We stay on top of your re-attestation schedule, ensuring that your CAQH profile is always current and your participation in insurance networks remains uninterrupted.
Save Time & Resources : Credentialing can be time-consuming, but our service allows you to delegate the heavy lifting to us, freeing up your time for more important tasks like patient care.
Expert Guidance : With years of experience in credentialing, our team understands the nuances of the CAQH system, and the documentation required by various insurance companies. This ensures accuracy and compliance throughout the process.
Seamless Management : We handle the entire credentialing process, including ongoing profile management, re-attestations, and updates, so you never have to worry about missing deadlines or being out of compliance.
Reduce Delays : Avoid delays in credentialing approvals that can cost you valuable time and hinder your practice’s growth. Our team ensures everything is submitted correctly and on time.
Affordable Solutions : Our services are designed to be budget-friendly without compromising on quality. You get expert help at a cost-effective rate, ensuring you stay credentialed without breaking the bank.
Unmatched Accuracy : Our team meticulously verifies and inputs all necessary information to ensure that your CAQH profile is complete and compliant with industry standards. This attention to detail reduces errors and minimizes the likelihood of issues with your credentialing application.
Timely Re-Attestation : With us, you never have to worry about missing a deadline. We stay on top of your re-attestation schedule, ensuring that your CAQH profile is always current and your participation in insurance networks remains uninterrupted.
The timeline for completing CAQH credentialing can vary depending on how quickly all required information and documents are submitted. Once all necessary data is gathered and entered, it generally takes 2 to 4 weeks for insurance companies to process and review the credentialing application. Some health plans may take longer, depending on their individual review process.
CAQH requires providers to re-attest their profile every 120 days to ensure information remains up to date. If you miss this deadline, your profile may become inactive, which could delay credentialing with new health plans or cause issues with existing insurance networks. To prevent this, we manage your re-attestations and ensure your profile stays current and active.
Yes! One of the key benefits of CAQH is that you only need to maintain one CAQH profile that can be used by multiple insurance companies and health plans for credentialing purposes. Once your profile is complete and attested, it can be shared with any participating health plan that requests access to your data. Our team ensures that your profile is correctly shared with insurers to streamline the credentialing process and avoid delays.
You are required to re-attest your profile every 120 days to keep it active. However, you should update your CAQH profile immediately if there are any changes to your professional information (e.g., license renewal, address change, new hospital privileges).
No, you do not need separate CAQH profiles for different states. Your single CAQH profile can be used across all states, though you will need to ensure that all state-specific licenses and certifications are included in your profile.
Yes, our team is here to assist you every step of the way. We help you gather all required documents and information, ensuring everything is accurate and submitted correctly to avoid delays.
We designated a phenomenal HIPAA Compliance manager for applying, administering and assuring all transactions underwent within the criteria of the HIPAA rules and regulations.
Call Us : +1 (631) 417-0212
Mail Us : info@medquiksolutions.com
Address : South Setauket, NY 11720, USA.
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