CAQH (Council for Affordable Quality Healthcare)
CAQH is the nonprofit alliance of health plans and trade associations that built a shared, standardized system for collecting provider data. Instead of filling out a separate application for every insurance company, a provider completes one CAQH profile that participating payers can pull from during credentialing.
For a practice owner, CAQH is the foundation everything else is built on. A profile that is incomplete, expired, or missing an attestation is the single most common reason a credentialing application stalls with a payer, which is why keeping it current is one of the first things an RCM team checks.
CAQH ProView
CAQH ProView is the online portal providers use to build and maintain their CAQH profile: demographics, education, work history, malpractice coverage, licenses, and more. It replaced CAQH’s older paper-based process and is now the primary system payers reference nationwide.
Providers must re-attest to their ProView data every 120 days, even if nothing has changed. Missing that window can quietly pause credentialing or re-credentialing with every payer connected to the profile, so proactive monitoring matters as much as the initial setup.