Medical Credentialing and How to Complete CAQH Re-attestation

CAQH 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.

Step 1: You will get Emails For CAQH Renewal

After your first renewal, you will get emails that look like this from CAQH:

“Credentialing Data Review and Attestation Due in 15 Days.”

This makes it convenient (as long as you check the email address you registered with CAQH, and as long as your spam filter doesn’t grab the notice before you see it).

Here is the email! (name and provider number changed, of course :-)

Provider Name:     SAM COUNSELOR PC
CAQH Provider ID:  1515151

Thank you for participating in the CAQH Universal Provider  DataSource!  This message is to notify you that you should review your credentialing data in the Universal Provider DataSource, make any necessary updates, and complete a new attestation within the next 15 days.  This re-attestation process is designed to ensure that your information is kept up-to-date so participating health plans and other organizations can use it for their credentialing processes, as well as for other purposes such as keeping directories current.  We ask that you re-attest three times per year.  You can complete this process in a few mouse clicks.  If you do not re-attest, many participating organizations may be required to contact you directly for credentialing materials.

To complete the re-attestation process, please follow these steps:
1.      Log onto the Online Application System (https://upd.caqh.org/oas) using your Username and Password.
2.      Check the Attachments tab to see if any supporting documents (e.g., DEA certificate or proof of professional liability insurance) need to be updated. If so, please be sure to update the appropriate expiration date by going to that section(s), updating the field(s), and click the ‘Audit’ button at the bottom of page.
3.      Go to the Audit tab and select Run Audit.
4.      Go to the Attest tab, and follow the quick 3-step attestation process to finalize your updates.

For assistance, please contact our toll-free Provider Help Desk at (888) 599-1771 (Help Desk hours: 7am-9pm ET Monday – Thursday and 7am-7pm ET on Fridays).  Please have your CAQH Provider ID available when you call.

The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.  Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited.

If you received this in error, please delete the material from any computer.

CAQH Tips:
  • You can always click on the Answer tab to make any additional changes.  Just remember to follow the above process afterwards to finalize your edits.
  • Be sure to send in any supporting documents (e.g., DEA certificate or proof of professional liability insurance) that need to be updated.  You do not need to fax an updated Authorization, Attestation and Release form.   For other documents, print a Fax Cover Sheet, attach your updated documents, and fax to (866) 293-0414 (toll free).

Step 2: Completing the CAQH Update / Renewal.

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.

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:

NameStateReceived Date
Application Release04/21/2009
Current Professional Liability Insurance Policy Face Sheet08/14/2010
Curriculum Vitae/Resume04/23/2009
DEA Waiver04/23/2009
State License CertificateMA08/14/2010
State ReleaseMA04/23/2009

Documents Missing: All documents are present.

Step 3: Successful CAQH Re-attestation Looks Like This [Final Step]

About 30 hours after submitting your online Re-attestation with CAQH, you will likely get an email such as the one below. Basically, a confirmation.

Interesting Note: The email below says that CAQH can notify you of a re-attestation being due by both email and fax, but I’ve never known to get a fax notification.

Here’s the CAQH email Confirmation:

Provider Name:     JOHN SMITH MD
CAQH Provider ID:  11888811

Thank you for participating in the CAQH Universal Provider Datasource!  We are pleased to confirm that the reattestation for your application data was successful.  Any changes made to your application data in the CAQH Data Repository have been provided to your authorized Plans in order to update their provider files.

We would like to remind you that complete provider files require a new attestation every 120 days even when no changes to your file are necessary.  For your convenience, we will begin sending you e-mail or fax reminders 2 weeks prior to your reattest anniversary date, encouraging you to review and reattest to the accuracy of the information in your file.

You may login to the CAQH Universal Provider Datasource anytime you would like to review or update and reattest to your application data.  The following link will provide easy access https://upd.caqh.org/oas.

Please contact us with your questions at caqh.updhelp@acsgs.com or through our toll-free Provider Help Desk (888) 599-1771 (Help Desk hours:  Monday – Thursday 7am-9pm ET and 7am-7pm ET on Fridays).

The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.  Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited.

If you received this in error, please delete the material from any computer.

Step 4: You will repeat this CAQH process every 120 days.

Comments

  1. 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…

  2. Cheryl says

    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. :-)

  3. kerri says

    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

  4. kerri says

    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

  5. 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

  6. says

    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

    • 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!!

    • 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)

  7. 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!

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