Medical Credentialing and CAQH Re-attestation: Tips from the Pros

medical credentialingCAQH re-attestation is simple enough. Once a quarter (that’s 4 times a year) you’ll receive an email form CAQH asking you to login to their system and re-attest your application.

What this means is that you’re to review your information, and basically confirm that it is still true an accurate. A quick review of your info, a few clicks, and your all set.

Or Are You?

I was reminded today how much of a pain it is to RE-Attest your CAQH profile if there is anything that needs to be changed. Say you were issued a new license (happens every couple years for many professionals), you switch liability insurance carriers, or even your practice address… This small change might mean a lot of printing, scanning, and faxing. Even the reattestation process changes from a simple online ‘click’ to an offline form that needs to be printed and signed.

See below for a page from CAQH that describes this hassle.

Initial Attestation Supporting Documentation:
After completing the steps on the attestation tab, follow these additional instructions to complete your application:

  1. Print the Authorization, Attestation and Release Form.
  2. Sign and date.
  3. Print the Fax Cover Sheet and review tips.
  4. Indicate the supporting documents you will be including.
  5. Assemble your Fax Cover Sheet, AAR and supporting documents.
  6. Fax to 866-293-0414.
  7. You will receive confirmation, through your preferred method of contact, once your documents have been received and processed. Please allow 3 business days for completion.
  8. If you have any questions/problems with your submission please call the helpdesk at 888-599-1771.
To download a free copy of Acrobat® Reader, click here

Reattestation Supporting Documentation:
After completing the steps on the attestation tab, follow these additional instructions to complete your reattestation:

  1. Review your supporting documents below to make sure your most current information is on file. Please print a copy of the Fax Cover Sheet and attach to your transmission. Fax updated supporting documents to 866-293-0414.
  2. Make sure that your supporting documents match the information in your application. You can review the Data Summary from the Attestation tab to confirm any expiration dates, policy numbers or other information is updated. You can make updates to the application by clicking on the Answer tab.
  3. No further action is required if your supporting documents are up-to-date.

Supporting documents received:

Name State Received Date
Application Release 04/21/2009
Current Professional Liability Insurance Policy Face Sheet 08/14/2010
Curriculum Vitae/Resume 04/23/2009
DEA Waiver 04/23/2009
State License Certificate MA 08/14/2010
State Release MA 04/23/2009

Documents Missing: All documents are present.

It’s GREAT to hear that all my documents are up-to-date. Now I can go about my day, and help some other people with medical credentialing. Want to get on insurance panels? We can help! Call us at 1-877-747-9682 x-2.
Be Sociable, Share!

Comments

  1. Carol Donabedian says:

    please contact me for information to reattest my CAQH on-line. I have not been able to get thru. Thank You, Carol Donabedian

    • Thriveworks says:

      Dear Carol, Our telephone service provider was having a massive meltdown today– which means some customers were unable to reach us — I’m so sorry! Everything should be back up and running now. Hope this helps!

  2. john toole says:

    Horrible pains to get this “easy and simple” credentialing to go through. POOR!!!!!!

    • Thriveworks says:

      Hi John,
      Sorry for your frustration with CAQH! As a company, our goal is to help take this frustration off health providers’ plates! If you think we can be of any help, please give us a call.
      Warmly, Dr. Anthony Centore (and your friends at Thriveworks)

  3. Dear Sir, When I originally applied to CAQH with all my information, I did it in writing and I submitted a very long application , sent it in and received my NIP # which is 1891814075 and since I did everything by paper since my computer was down, I now need to re-attest and have faxed you a copy of my current license which is the only change and I continue to get these letters that say that I have to re-attest. Please tell me how I can do that. I thought that by faxing everything, that would take care of it. I would appreciate it if you could help me with this matter. Thank you, Carol Donabedian

    • I also need this info as soon as possible. Thanks

    • Thriveworks says:

      Hi Carol,
      I’m not surprised by your experience. CAQH gives providers the option to submit a paper claim, or do it online. I too have taken the paper road, and long story short I know many providers (including myself) who found that when you submit a paper application, the good people at CAQH never get it in the system. We advise doing the online CAQH application/profile. I hope this helps!!

  4. GERMAINE M. CZARNECKI AKA GERI says:

    I am totally frustrated. I cannot get into my caqh records. I have use the same password: ******** and the same user name: **** for years. Now it says there is a lock on my records. I have called the helpline 4 times. T hey all say that all is ok now. but still cannot get in. I need to change some things and I need to print off a copy for a new insurance company. Please tell lme what to do next.

    • Thriveworks says:

      Dear Germaine,

      Step One: Don’t publish your username and password on a public forum :-)
      Germaine, we dont have your phone number, but if you would like to call our office at 1-855-4-THRIVE, we would be happy to try and point you in the right direction!
      Warmly,
      Your Friends at Thriveworks

  5. Writing to make sure all my paper work is up to date. If I am up to speed, please email in this regard

  6. I just checked this email and saw I was supposed to re-attenst about 10 days ago. tried going on the CAQH site to re-attest and could not get on. Is there a problem with the system. I want to get this taken care of immediately? Thank you in advance for any help you can provide!

    Sincerely,
    Kerri Murphy

  7. I just read the email stating I was supposed to re-attest 10 days ago.Can’t believe 3 months have gone by already. Tried to get the CAQH site but was not allowed. Any help you can provide would be greatly appreciated so I can re-attest immediatly. Thanks so much!!
    Sincerely,
    Kerri, LCSW

  8. I am so disgusted that insurance companies require practitioners to use CAQH who is so inept at processing our information or responding to problems. Yet, we are held accountable for spending numerous hours submitting information over and over. I have all of the concerns listed in previous emails (information not being updated on CAQH’s system; inability of some foreign CAQH staff to understand or answer basic questions; ) and my latest nightmare which is an inability to complete my Attestation form online because CAQH’s system has been “down” (going on 2 months now). I am now being asked by BC/BS to manually fill out another application with supporting documents, etc. UGH!!!!!!!!

    • Thriveworks says:

      Yikes! CAQH is a hassle, and I don’t think it makes things much easier either for providers. It’s just another hoop to jump through. We at Thriveworks second your “UGH!” Let us know if you think we can help. :-)

  9. catherine heath says:

    I need to re-attest. this whole thing is a pain in the …
    I usually call to re-attest. it seems I will continue until someone gets smart and takes this hassel out. This in no way is helpful or easier. Just another hoop.

    • Anthony Centore says:

      We couldn’t agree more. It seems everytime I re-attest my CAQH, the moment I turn around I need to do it again! Thankfully it only takes a minute to re-attest online. Still, hopefully their will be a better system eventually…

Speak Your Mind

*