The CAQH Provider Application form is a key document for healthcare professionals seeking to establish themselves within various networks and streamline the credentialing process. This form automates formatting for ease, including mixed-case text, correct numbering, and ZIP code matching, while also guiding applicants through each section to avoid common errors that may delay processing. For anyone looking to join a healthcare provider network, completing this form accurately is a critical first step.
Click the button below to start filling out your CAQH Provider Application form and move closer to joining your desired network.
The CAQH Provider Application Form stands as a comprehensive document designed to streamline the credentialing process for healthcare providers, facilitating a unified approach to submitting personal and professional information to healthcare organizations. With specific sections requiring detailed input ranging from personal information, professional IDs, to education and training backgrounds, the form meticulously guides providers through the completion process with explicit instructions. Highlighted by its emphasis on clarity and accuracy, the form demands the use of blue or black ink and legible handwriting, imposing restrictions such as one character per box to avoid errors. It is imperative for providers to complete all relevant sections, utilizing provided codes for straightforward reporting of schools attended, languages spoken, and specialties. Critical to avoiding processing delays, the form necessitates attentiveness to fields marked with asterisks, indicating mandatory responses. Additionally, it includes supplementary forms for reporting additional professional IDs and educational details, ensuring a comprehensive profile. The form not only accommodates the submission of current and past licensing information but also endeavors to capture ongoing professional development through sections dedicated to board certifications and specialties. By adhering to the designated instructions and correctly utilizing the supplemental documents, healthcare providers can ensure a smoother credentialing process with healthcare organizations.
Provider Application
CAQH AUTOMATICALLY APPLIES MIXED-CASE FORMATTING,
CORRECT NUMBERS
A
B
C
1
2
3
CORRECT
X
INCORRECT
•
COMMON ABBREVIATIONS, AND ZIP CODE MATCHING. PLEASE
AND LETTERS
MARK
MARKS
MAKE CORRECTIONS ONLINE OR CALL THE HELP DESK.
Instructions
Tips to avoid processing delays
Read all instructions
1.
Complete only this application and its supplemental forms. Do not use another provider’s application.
2.
Use a blue or black ink ball-point pen only. Do not use a pencil or a felt-tip pen.
carefully prior to
3.
Print legibly and inside the boxes provided based upon the examples given above.
submitting your
4.
Do not enter more than 1 character per box. If necessary, write outside the provided spaces.
application.
5.
Complete all sections that are applicable to you.
6. Some fields use “codes” to help you easily report information (e.g., schools, languages). Code lists are found on pages 36 - 43.
NOTE: Fields with asterisks (*) indicate that a response is required. All other fields will be considered not applicable if left blank.
SECTION 1
Personal Information and Professional IDs
Provider Type
Code list is found on page 36. Enter the
DO YOU PRACTICE EXCLUSIVELY WITHIN THE INPATIENT SETTING?*
associated 3-digit code in the space
YES
NO
(E.G. PATHOLOGISTS, ANESTHESIOLOGISTS, ER PHYSICIANS, NURSE
provided.*
PRACTITIONER, RADIOLOGISTS, PHYSICIAN ASSISTANT, ETC.)
Name
Do not use nicknames
or initials, unless they
LAST NAME*
SUFFIX (JR, III)
are part of your legal
name.
FIRST NAME*
MIDDLE NAME
HAVE YOU EVER USED ANOTHER NAME?*
IF YES, PLEASE LIST ALL OTHER NAMES USED AND THEIR DATES OF USE BELOW.
OTHER LAST NAME
OTHER FIRST NAME
OTHER MIDDLE NAME
M
D
Y
DATE STARTED USING OTHER NAME
DATE STOPPED USING OTHER NAME
General
Information
GENDER*
MALE
FEMALE
DATE OF BIRTH*
Only enter a Foreign
National Identification
Number if you do not
have a SSN. Do not
enter National Provider
CITY OF BIRTH
STATE OF
COUNTRY OF
Identification (NPI)
BIRTH
Number here.
SSN*
-
Code lists are found on
pages 36-43. Enter the
FOREIGN NATIONAL IDENTIFICATION NUMBER (FNIN)
FNIN COUNTRY OF ISSUE
associated 3-digit code
in the space provided.
ENTER ALL NON-ENGLISH
LANGUAGES YOU SPEAK
LANGUAGE CODE
Home Address
NUMBER
STREET
APT NUMBER
CITY
STATE
ZIP CODE
TELEPHONE
NOTE: CAQH will use
this method for
E-MAIL
application follow-up.
FAX
PREFERRED METHOD OF CONTACT*
3076
* REQUIRED RESPONSE. NO RESPONSE MAY CAUSE PROCESSING DELAYS AND REQUIRE FOLLOW-UP.
Page 01
*REQUIRED RESPONSE. NO RESPONSE MAY CAUSE PROCESSING DELAYS AND REQUIRE FOLLOW-UP.
Section 1
Personal Information and Professional IDs (Continued)
Professional
IDs
FEDERAL DEA NUMBER
Include all state
DEA ISSUE DATE
licenses, DEA
Registration and State
Controlled Dangerous
DEA STATE OF REGISTRATION
DEA EXPIRATION DATE
Substance (CDS)
certification numbers.
Provide all current and
CDS CERTIFICATE NUMBER
CDS ISSUE DATE
previous licenses/
certifications.
CDS STATE OF REGISTRATION
CDS EXPIRATION DATE
Non-licensed
professionals should
enter certification/
registration number in
STATE LICENSE NUMBER
LICENSE ISSUING STATE
LICENSE ISSUE DATE
the space provided for
IF THIS IS A STATE LICENSE, ARE YOU
license number.
CURRENTLY PRACTICING IN THIS STATE?
If you have additional
LICENSE EXPIRATION DATE
Professional IDs to
report, use the
Code list is found on page 36;
Professional IDs
use license status codes. Enter
use provider type codes. Enter
Supplemental Form on
3-digit code in space provided.
LICENSE STATUS CODE
page 19.
LICENSE TYPE
Other ID
ARE YOU A PART-
Numbers
ICIPATING MEDICARE
PROVIDER?*
MEDICARE NUMBER
UPIN
ICIPATING MEDICAID
MEDICAID NUMBER
MEDICAID STATE
NATIONAL PROVIDER IDENTIFICATION (NPI) NUMBER
USMLE NUMBER (WITHOUT HYPHENS)
WORKERS COMPENSATION NUMBER
—
0
ECFMG NUMBER (NON-U.S./CANADIAN GRADUATE ONLY)
ECFMG CERTIFICATE ISSUE DATE (NON-U.S./CANADIAN GRADUATE ONLY)
3077
Page 02
Section 2
Education and Training
Undergraduate
UNDERGRADUATE SCHOOL
School(s)
Provide the appropriate
information for the
OFFICIAL NAME OF UNDERGRADUATE SCHOOL
school that issued your
undergraduate degree
and all schools
attended.
ADDRESS
ZIP/POSTAL CODE
COUNTRY CODE
professional degree.
START DATE
END DATE (GRADUATION DATE)
DEGREE AWARDED
Fifth Pathway Graduates
DID YOU COMPLETE YOUR
please complete the
UNDERGRADUATE EDUCATION
following sections: U.S.
AT THIS SCHOOL?
School that issued your
certificate, the Non-U.S.
GRADUATE TYPE*:
School where you
attended, and the Fifth
Pathway institution
U.S. OR CANADIAN GRADUATE
NON-U.S./CANADIAN GRADUATE
FIFTH PATHWAY GRADUATE
where you completed
your training on
U.S. OR CANADIAN SCHOOL
Supplemental Page 20.
SCHOOL CODE (U.S./
NAME OF U.S./
CANADIAN ONLY)
CANADIAN SCHOOL:
START DATE*
END DATE (GRADUATION DATE)*
Undergraduate or
Professional Schools to
GRADUATE EDUCATION AT THIS
Education Supplemental
SCHOOL?
Form on page 20.
NON - U.S. OR CANADIAN SCHOOL
OFFICIAL NAME OF NON-U.S. PROFESSIONAL SCHOOL
POSTAL CODE
3078
Page 03
Education and Training (Continued)
Training
List all training
SCHOOL CODE (E.G.,
programs you
AFFILIATED MEDICAL
attended. Use one
SCHOOL)
section per institution.
INSTITUTION/HOSPITAL NAME (USE BOTH LINES IF REQUIRED)
post-graduate training
programs, use the
SUITE/BUILDING
Supplemental Training
Form on page 21.
Please explain on the
Supplemental
Professional / Work
History Gap Form on
page 33 any training
gap(s) of three (3)
months or greater, or
DID YOU COMPLETE THIS TRAINING PROGRAM AT THIS
any gap(s) of a shorter
INSTITUTION?
duration if required by
(IF NOT, PLEASE USE THE SPACE BELOW TO EXPLAIN.)
the organization for
which you are being
credentialed.
Code lists are found on pages 36-43. Enter the associated 3-digit code in the space provided.
List each
INTERNSHIP/
FELLOWSHIP
OTHER
RESIDENCY
department
separately, if
END DATE
applicable.
List
DEPARTMENT/SPECIALTY (DO NOT ABBREVIATE)
Internship/
Residency,
Fellowship
and Other
NAME OF DIRECTOR
programs
separately.
FELLOWSHIP OTHER M M Y Y Y Y M M Y Y Y Y
3080
Page 04
Section 3
Professional / Medical Specialty Information
Primary
SPECIALTY
INITIAL
DO YOU WISH TO
HMO
Specialty
CODE
CERTIFICATION
BE LISTED IN
DATE
THE DIRECTORY
RECERTIFICATION
UNDER THIS
BOARD
SPECIALTY?
PPO
CERTIFIED?
(IF APPLICABLE)
CERTIFYING
EXPIRATION DATE
POS
IF NOT
I HAVE TAKEN
I INTEND TO SIT FOR AN
I DO NOT INTEND TO TAKE
EXAM, RESULTS
EXAM ON
A CERTIFYING BOARD EXAM.
CERTIFIED
PENDING FOR
(SELECT
ONE)
CERTIFYING BOARD CODE
IF YOU INDICATED THAT YOU DID NOT INTEND TO TAKE A CERTIFYING BOARD EXAM, PLEASE USE THE
FOLLOWING SPACE TO EXPLAIN, OTHERWISE LEAVE THE SPACE BLANK.
Secondary
Professional / Medical
Specialties to report,
use the Additional
Specialties
page 22.
3081
Page 05
Professional / Medical Specialty Information (Continued)
Certifications
Do you hold the following certifications? If yes, provide expiration dates.
BASIC LIFE
ADV LIFE
SUPPORT IN
SUPPORT?*
OB?*
ADV TRAUMA
CPR?*
LIFE
ADV
PEDIATRIC
CARDIAC
ADVANCED
LIFE SPT?*
NEONATAL
Practice
Interests
Provide additional
areas of professional
practice interest,
activities, procedures,
diagnoses or
populations.
Credentialing
Contact
LAST NAME
CHECK HERE TO
USE THE OFFICE
FIRST NAME
M.I.
MANAGER AND
ADDRESS OF THE
PRIMARY PRACTICE
LOCATION AS THE
CREDENTIALING
INFORMATION.
NOTE:
Even if you checked
the boxes above,
please provide the
e-mail address, if
E-MAIL ADDRESS
available.
3082
Page 06
Section 4
Practice Location Information
NOTE: IF YOU INDICATED THAT YOU PRACTICE EXCLUSIVELY WITHIN THE INPATIENT SETTING ON PAGE 1, YOU ARE ONLY REQUIRED TO COMPLETE THE
CREDENTIALING CONTACT QUESTION ABOVE. SECTION 4 MAY BE LEFT BLANK. YOU MAY PROCEED TO SECTION 5 ON PAGE 11.
Location
CURRENTLY
IF NO, WHAT IS
PRACTICING AT
YOUR EXPECTED
THIS ADDRESS?*
START DATE?
practice locations, use
the Supplemental
PHYSICIAN GROUP / PRACTICE NAME TO APPEAR IN DIRECTORY (DO NOT ABBREVIATE)*
Practice Location
Information Form on
pages 25-29.
GROUP / CORPORATE NAME AS IT APPEARS ON W-9, IF DIFFERENT FROM ABOVE (DO NOT ABBREVIATE)
NOTE: “General
Correspondence” refers
to any correspondence
NUMBER*
STREET*
that might be sent to the
provider that does not
solely relate to creden-
CITY*
STATE*
ZIP CODE*
tialing or billing
information.
SEND GENERAL
CORRESPON-
TIP Your Individual Tax
DENCE HERE?*
TELEPHONE*
ID is assumed to be
your Primary Tax ID
unless you specify
otherwise to the right.
OFFICE E-MAIL ADDRESS
PRIMARY
USE INDIVIDUAL
USE GROUP
TAX ID
(ONE ONLY)*
INDIVIDUAL TAX ID
GROUP TAX ID
Office Manager
or Business
Office Staff
List each contact
separately. You may
use the check boxes
below for convenience.
Do not write
instructions like “see
above”. These
responses will be
rejected and will
require follow-up.
Billing Contact
USE OFFICE
OFFICE ADDRESS
AS BILLING
INFORMATION
the box above, please
provide the
E-mail Address of the
Billing Contact.
3083
Page 07
Practice Location Information (Continued)
Payment and
ELECTRONIC
Remittance
BILLING
CAPABILITIES?*
BILLING DEPARTMENT (IF HOSPITAL-BASED)
YOUR “CHECK PAYABLE TO”
INFORMATION SHOULD BE
CONSISTENT WITH YOUR
W-9.
CHECK PAYABLE TO*
AS PAYEE
Payee Contact.
Office Hours
(USE HHMM FORMAT AND ROUND TO THE NEAREST HALF-HOUR)
START
A=AM
END
P=PM
MONDAY
FRIDAY
TUESDAY
SATURDAY
WEDNESDAY
SUNDAY
THURSDAY
After hours back office
telephone will be used
only by the health plan
24/7 PHONE COVERAGE?*
IF YES
AFTER HOURS BACK OFFICE TELEPHONE
and will not be
ANSWERING
VOICE MAIL WITH
VOICE MAIL
published under any
INSTRUCTIONS TO CALL
WITH OTHER
SERVICE
circumstances.
ANSWERING SERVICE
INSTRUCTIONS
Open Practice
ACCEPT NEW PATIENTS INTO THIS PRACTICE?*
ACCEPT ALL NEW PATIENTS?*
Status
ACCEPT EXISTING PATIENTS WITH CHANGE OF PAYOR?*
ACCEPT NEW MEDICARE PATIENTS?*
ACCEPT NEW PATIENTS WITH PHYSICIAN REFERRAL?*
ACCEPT NEW MEDICAID PATIENTS?*
IF ANY OF THE
ABOVE INFORMATION
VARIES BY PLAN,
EXPLAIN (USE BOTH
LINES IF REQUIRED)
ARE THERE ANY
GENDER LIMITATIONS
AGE LIMITATIONS
LIST OTHER LIMITATIONS
PRACTICE LIMITATIONS?*
MINIMUM
ONLY
NONE
AGE
MAXIMUM
3084
Page 08
Mid-Level
DO MID-LEVEL PRACTITIONERS (NURSE PRACTITIONERS, PHYSICIAN
ASSISTANTS, ETC.) CARE FOR PATIENTS IN YOUR PRACTICE?*
Practitioners
(IF YES, PLEASE PROVIDE THE INFORMATION BELOW)
PRACTITIONER LAST NAME
PRACTITIONER FIRST NAME
PRACTITIONER TYPE (E.G., PA,
CNP, NP)
PRACTITIONER LICENSE / CERTIFICATE NUMBER
PRACTITIONER STATE
3085
Page 09
Languages
LANGUAGES
NON-ENGLISH LANGUAGES
SPOKEN BY OFFICE PERSONNEL
pages 37. Enter the
INTERPRETERS
AVAILABLE?*
INTERPRETED
Accessibilities
DOES THIS OFFICE MEET ADA ACCESSIBILITY REQUIREMENTS?*
DOES THIS SITE OFFER HANDICAPPED
DOES THIS SITE OFFER OTHER
ACCESSIBLE BY
ACCESS FOR THE FOLLOWING
SERVICES FOR THE DISABLED?*
PUBLIC TRANSPORTATION?*
BUS*
BUILDING?*
TEXT TELEPHONY (TTY)*
PARKING?*
AMERICAN SIGN LANGUAGE*
SUBWAY*
MENTAL/PHYSICAL IMPAIRMENT
REGIONAL TRAIN*
RESTROOM?*
SERVICES*
OTHER HANDICAPPED ACCESS
OTHER DISABILITY SERVICES
OTHER TRANSPORTATION ACCESS
Services
Does this location provide any of the following services?
LABORATORY
IF YES, PROVIDE ACCREDITING/
CERTIFYING PROGRAM
SERVICES?
(E.G., CLIA, COLA, MLE)
RADIOLOGY
IF YES, PROVIDE X-RAY
CERTIFICATION TYPE
EKGS?
ALLERGY
ALLERGY SKIN
ROUTINE OFFICE
GYNECOLOGY
INJECTIONS?
TESTING?
(PELVIC/PAP)?
DRAWING
FLEXIBLE
TYMPANOMETR
BLOOD?
APPROPRIATE
Y/ AUDIOMETRY
IMMUNIZATIONS?
SIGMOIDOSCOPY?
SCREENING?
ASTHMA
OSTEOPATHIC
IV HYDRATION/
TREATMENT?
MANIPULATION?
STRESS TEST?
PULMONARY
PHYSICAL
CARE OF MINOR
FUNCTION
THERAPY?
LACERATIONS?
IF YES, WHAT
IS ANESTHESIA
ADMINISTERED IN
CLASS/CATEGORY
YOUR OFFICE?
DO YOU USE?
IF YES, WHO
ADMINISTERS IT?
TYPE OF PRACTICE
SOLO PRACTICE
SINGLE SPECIALTY GROUP
MULTI-SPECIALTY GROUP
(SELECT ONE ONLY)*
ADDITIONAL OFFICE PROCEDURES PROVIDED (INCLUDING SURGICAL PROCEDURES)
3086
Page 10
After gathering all necessary personal, professional, and educational information, the next step is filling out the CAQH Provider Application form. This document is important for healthcare providers seeking to be recognized and credentialed by health plans and networks. Accurate and complete information facilitates smoother processing and helps avoid delays. Follow these detailed instructions to ensure your application is filled out correctly.
After completing the form and reviewing it for accuracy, submit it to the CAQH following their guidelines. Expect to receive confirmation of receipt and be prepared for any follow-up requests for information or clarification.
The CAQH Provider Application Form is a standardized form used by healthcare professionals to submit their credentials and personal information to health plans and networks. It simplifies the process by allowing providers to complete one form instead of filling out multiple forms for different organizations.
The application uses mixed-case formatting, corrects numbers and letters, checks for common abbreviations, and performs zip code matching to enhance the accuracy of the information submitted. Providers are encouraged to make any necessary corrections online or contact the help desk for assistance.
Providers should use a blue or black ink ball-point pen when filling out the form. The use of pencils or felt-tip pens is discouraged to ensure the form is legible and can be processed without errors.
While filling out the application, if the space provided is insufficient, it is acceptable to write outside the spaces provided as long as the information is legible.
Yes, providers should complete every section that is applicable to their professional credentials and background. Note that fields with asterisks (*) are mandatory and must be filled out to avoid processing delays and follow-ups.
Providers who exclusively practice within an inpatient setting, such as pathologists, anesthesiologists, or nurse practitioners, should indicate this by selecting "Yes" in the corresponding section of the form.
Yes, the application provides sections for providers to list their professional IDs, including state license numbers, DEA numbers, and other certification numbers. Providers are encouraged to include all current and previous licenses or certifications.
If an error is made, providers should make the necessary corrections online through the CAQH system or by contacting the help desk for assistance. It is important to ensure that all information is accurate before submitting the application.
Filling out the CAQH Provider Application form accurately is crucial for healthcare providers. However, some common mistakes can lead to processing delays or require follow-up, adding unnecessary complications to credentialing or recredentialing processes. Here are five mistakes to avoid:
To avoid these mistakes:
By paying close attention to these common pitfalls and following the provided instructions carefully, healthcare providers can streamline the process of completing their CAQH Provider Application form.
When completing the CAQH Provider Application, applicants often need to submit additional forms and documents to support their application. These documents are essential to provide a comprehensive profile of the provider, ensuring a smoother credentialing process. Below is a brief outline of some common forms and documents that are frequently used alongside the CAQH Provider Application.
Together with the CAQH Provider Application, these documents form a crucial part of a provider's credentialing package. They facilitate the verification process, helping healthcare organizations and insurance payers assess and confirm a provider's qualifications and eligibility to deliver care. Gathering and preparing these documents in advance can greatly expedite the credentialing process, making it smoother and faster for both the provider and the credentialing entity.
Medical Licensing Application: The CAQH Provider Application form is similar to individual state medical licensing applications. Both collect detailed personal information, education background, and professional qualifications. Likewise, they require disclosure of any other names used by the applicant, akin to how the CAQH form asks for any alternate names for identity verification purposes.
DEA Registration Application: Just as the CAQH application collects DEA numbers and state-controlled dangerous substance certification numbers, the DEA Registration Application captures similar information for the purpose of monitoring the legal distribution of controlled substances in the medical field.
Provider Enrollment, Chain, and Ownership System (PECOS) Application: The PECOS application, used by Medicare to enroll providers in its program, mirrors the CAQH form in gathering detailed provider information, including qualifications, practice locations, and NPI numbers, to facilitate healthcare billing procedures.
Hospital Credentialing Application: Hospital credentialing forms request extensive details on a provider's education, training, and professional experience — similar to the CAQH application. Both are designed to assess a provider's qualifications to ensure they meet specific standards for patient care.
Medicaid Provider Enrollment Form: This form, like the CAQH application, is required for providers to be eligible to receive Medicaid reimbursements. It collects information on the provider's identity, professional history, and certifications to ensure compliance with Medicaid program integrity and quality standards.
Health Insurance Credentialing Form: Used by private health insurers, these forms collect comprehensive data on a provider's qualifications, similar to the CAQH application, to determine eligibility to join an insurer's network of covered providers.
Board Certification Application: Board certification applications require detailed information on a provider's education, training, and areas of specialization, similar to information requested in the CAQH form, to validate the provider's expertise in specific medical fields.
Professional Liability Insurance Application: This application gathers information on a provider's professional history, education, and potential risk factors, akin to the CAQH application, to determine coverage terms and insurance premiums.
Continuing Medical Education (CME) Credit Submission Forms: These forms require providers to document their educational pursuits post-medical school, reflecting the CAQH application's section on education and training to ensure providers maintain current knowledge in their field.
National Practitioner Data Bank (NPDB) Query: While not an application, the NPDB query process is similar to information vetting on the CAQH application, as it checks a provider's history for malpractice settlements, disciplinary actions, and credentialing information, ensuring the provider's reliability and integrity.
When it comes to completing the CAQH Provider Application form, precision and attention to detail are vital. Below are several dos and don'ts that guide you through the process, ensuring a smooth submission.
By adhering to these dos and don'ts, applicants can ensure a smoother application process with fewer delays. Taking the time to complete the CAQH Provider Application form correctly the first time will save time and effort in the long run.
Understanding the CAQH Provider Application form is crucial for healthcare providers to ensure their credentials are accurately and efficiently processed. There are several misconceptions surrounding this form that can lead to confusion and delays in the credentialing process. It's important to dispel these myths to streamline the application procedure.
Myth 1: You can use any writing instrument to complete the application. The instruction specifies that only blue or black ink ball-point pens should be used. This requirement ensures that the completed forms are legible and that scanned copies are clear for processing. Using pencils, felt-tip pens, or other colors can cause delays due to readability issues.
Myth 2: Every field must be filled out, regardless of applicability. Not all sections apply to every provider. The form indicates fields marked with asterisks (*) as required. It’s vital to focus on completing all sections relevant to your practice and credentials. Completing unnecessary information can lead to confusion and inaccuracies in your provider profile.
Myth 3: Additional professional IDs and certifications outside of those specifically requested are not necessary. While the form provides space for certain professional IDs, including DEA and state licenses, it's important to report all relevant certifications and identification numbers. If you possess additional IDs that are pertinent to your practice, you should include them using the supplemental forms provided. Accurate and comprehensive ID information supports a thorough credentialing process.
Myth 4: The CAQH application alone is sufficient for credentialing. The application form is a critical component of the credentialing process, but it's not the only requirement. Providers must also ensure that they submit any required supplemental information, including proof of malpractice insurance, pertinent certifications, and detailed work history. An incomplete application or lack of required documents can result in processing delays.
Correcting these misconceptions and approaching the CAQH Provider Application form with accurate and comprehensive information will facilitate a smoother credentialing process. Providers are encouraged to read through the instructions carefully and to reach out for assistance if there are any uncertainties during the application process.
Filling out the CAQH Provider Application Form accurately and completely is essential for healthcare providers to facilitate seamless credentialing and billing processes. Here are four key takeaways to ensure the application is submitted correctly:
By adhering to the application instructions and tips, healthcare providers can ensure that their CAQH Provider Application Form is filled out accurately and completely, thereby minimizing the risk of delays and the need for additional follow-up.
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