Guide

The Complete Guide to CAQH for Providers and Credentialing Teams

Bip Team ·

CAQH touches nearly every credentialing and enrollment workflow in the United States. This guide walks through what CAQH is, how its ProView database works, what providers are responsible for, and how credentialing teams can use it to move faster.

What CAQH is

CAQH is the Council for Affordable Quality Healthcare, a nonprofit alliance of health plans and trade associations. Its best-known product, CAQH ProView, is an online repository where providers maintain a single profile of demographic, licensure, education, and work-history data and authorize plans to access it.

How ProView works

A provider creates a ProView profile, completes the data sections, uploads supporting documents, and attests to the accuracy of the information. Each authorized health plan can then pull the profile during credentialing instead of sending its own application. This replaces dozens of redundant paper forms with one shared source.

What providers must keep current

ProView is not a one-time task. Providers must re-attest at least every 120 days and keep supporting documents current, including state licensure, DEA registration, and malpractice insurance. Lapsed documents and stale attestations are among the most common reasons a credentialing file stalls.

How teams use CAQH to move faster

Credentialing teams treat a complete, attested CAQH profile as the starting line. When the profile is clean, primary source verification and payer enrollment proceed with far less back-and-forth. When it is incomplete, every downstream step inherits the delay.

Where Bip fits

Bip turns a provider's verified passport into a single source of truth that flows into every payer and facility portal. Instead of re-typing CAQH data across forms, teams let Bip's copilot complete applications from already-verified data — turning a 45-minute form into a 30-second task.