What is the importance of keeping CAQH information current and attested?

Keeping CAQH information current and properly attested helps authorized payers access accurate provider data during credentialing and recredentialing. Outdated documents, inaccurate practice information, or missed attestation can delay payer processing and create inconsistencies across enrollment records.

CAQH profiles are used by many healthcare organizations and commercial health plans as a source of provider credentialing information.

Because payers may rely on the data during initial credentialing, recredentialing, and administrative maintenance, the provider profile should accurately reflect current professional and practice information.

Important items to monitor include practice addresses, professional licenses, malpractice coverage, work history, hospital affiliations when applicable, board certification information, contact information, and required disclosures.

CAQH requires providers to periodically review and attest that their information is accurate. If attestation is overdue or supporting documents are expired, payer processing can be delayed.

Updating CAQH does not necessarily update every payer enrollment record automatically. Payer-specific change notifications may still be required.

• CAQH should reflect current provider and practice information.
• Supporting documents should remain current.
• Periodic attestation confirms the profile’s accuracy.
• Outdated CAQH data can delay credentialing or recredentialing.
• CAQH updates do not replace payer-specific enrollment changes.

A payer begins recredentialing a physician but finds an expired malpractice certificate and old practice address in CAQH. The credentialing specialist updates the profile, uploads current documentation, completes attestation, and separately verifies whether the payer requires a demographic-change form.

• Updating CAQH only when a payer complains.
• Allowing licenses or malpractice documents to expire.
• Missing required attestations.
• Assuming CAQH updates every payer’s enrollment record.

Explain CAQH maintenance as an ongoing responsibility, not a one-time application step.