BC Advantage - 2009 Issue 11

Understanding CAQH Credentialing

There are a lot of misconceptions among medical providers as to what exactly CAQH is and what it will do for a provider.  CAQH stands for The Council for Affordable Quality Healthcare and is a nonprofit alliance of health plans and trade associations, working to simplify healthcare administration through industry collaboration on public-private initiatives.  Basically CAQH aims to reduce the administrative burden for providers and health plans.  This all sounds good, but what does it actually do and how does it reduce this burden?Well anyone who has done credentialing in any form for a provider...

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