CAQH Isn’t a “Set It and Forget It” System — And Missing Updates Could Cost You Patients

Why CAQH maintenance is critical, and how ClinicMind’s CredEdge makes it effortless.

If you’re a healthcare provider, you likely already have a CAQH profile — the centralized database used by most insurance companies to verify your credentials. It’s designed to make life easier. But here’s the truth: CAQH only helps you if it’s constantly up to date.

And keeping it current? That’s more complicated than it sounds.

Why CAQH Can Be a Hidden Liability

CAQH requires providers to update and reattest their information at least every 120 days — even if nothing has changed. If you miss a deadline or forget to verify your profile, some payers will refuse to recredential you for as long as a year.

That means:

• You can’t see new patients with that insurance.
• You risk losing current patients who depend on that plan.
• You may face major delays in reimbursement — or stop getting paid altogether.

All because of one missed update.

It’s a Lot to Track — And One Mistake Can Snowball

From licenses and malpractice insurance to address changes and taxonomy codes, there are dozens of fields that must be kept accurate and timely. And most practices don’t have a dedicated staff member whose only job is to manage CAQH.

That’s where ClinicMind’s CredEdge comes in.

Let CredEdge Take CAQH Off Your Plate

CredEdge by ClinicMind offers end-to-end credentialing support, including CAQH profile management. We handle:

• Timely reattestation and updates
• Ongoing monitoring for expirations or red flags
• Coordination with payers to ensure uninterrupted credentialing

So you can stay focused on your patients — not paperwork.

Don’t Risk Your Revenue or Reputation

Credentialing is the gateway to getting paid and staying visible to patients. Letting CAQH fall out of date puts everything at risk. But with CredEdge, you can rest easy knowing it’s all being handled by experts who never miss a deadline.