CAQH Credentialing & Re-Attestation

Simplifying the Process with CredEdge by ClinicMind

If you’re a healthcare provider, you’re likely familiar with CAQH ProView the universal credentialing database used by payers to verify your professional and practice information. But many providers underestimate one critical step that can impact their insurance contracts and cash flow: CAQH re-attestation.

In this article, we’ll break down what CAQH credentialing involves, why re-attestation matters, and how CredEdge can help you stay compliant, avoid costly delays, and get paid faster.

What is CAQH Credentialing?

CAQH (Council for Affordable Quality Healthcare) credentialing refers to the process of submitting and verifying your professional credentials such as licenses, education, malpractice coverage, and practice locations using the CAQH ProView portal. Most major insurance payers require providers to complete this step before they will finalize any in-network contracts.

Think of it as a centralized digital resume that insurance companies use to confirm your qualifications and authorize you to provide care to their members.

What is Re-Attestation and Why Does It Matter?

CAQH requires providers to re-attest their information every 120 days to confirm that all submitted data is still accurate and up to date. Even if nothing has changed, failing to re-attest can lead to:

• Delays in credentialing and recredentialing
  Suspended payer contracts
• Rejected or delayed insurance claims
• Loss of in-network status

This step is often overlooked, but it’s one of the easiest ways to stay in good standing with insurance companies.

Common Challenges with CAQH Re-Attestation

Many providers especially those juggling full patient schedules struggle to keep up with CAQH deadlines. Challenges include:

• Missed reminders and re-attestation due dates
• Confusing or outdated login credentials
• Errors in previously submitted information
• Manual entry that takes up valuable admin time

That’s where CredEdge by ClinicMind comes in.

How CredEdge by ClinicMind Simplifies CAQH Credentialing

CredEdge is built to take the complexity out of credentialing—whether you’re applying for the first time or maintaining your CAQH profile through re-attestation.

Here’s how we help:

• Automated Reminders – Never miss a re-attestation again with timely notifications and tracking
  
• Hands-Off Management – Our experts monitor your deadlines, update your CAQH profile, and ensure accuracy
  
• Error-Free Submissions – Reduce the risk of costly mistakes that could delay your payer approvals
  
• Integrated Credentialing Dashboard – View the status of all credentialing tasks in one place
  
• Faster Time to Revenue – Keep your payer relationships strong and get paid on time

Stay Credentialed, Stay Paid

Credentialing doesn’t stop once you’re approved—it’s an ongoing process. With CredEdge, you can trust that your CAQH profile and all other credentialing tasks are handled proactively, so you can focus on patient care instead of paperwork.