The Complete CAQH ProView Guide for Providers

CAQH ProView is an online system where healthcare providers keep all their professional information in one place. Think of it as your digital credentialing profile that insurance companies rely on. 

Instead of sending your licenses, education details, and work history to every payer separately, you upload everything once into CAQH ProView—and payers pull the information directly from there.

Most insurance companies, including commercial plans and Medicaid, use CAQH ProView to verify your details during credentialing. 

So if you’re going through credentialing with insurance companies in general, your CAQH profile plays a big role. Keeping it complete and updated makes credentialing faster, cleaner, and much less stressful.

Key Takeaways

    • Single Source of Truth: CAQH ProView is the mandated digital profile used by most insurance payers (Aetna, Cigna, BCBS) for credentialing verification.
    • Non-Negotiable Pre-Requisite: Payers will not review an application until the corresponding CAQH profile is 100% complete, accurate, and up-to-date.
    • The 90-Day Rule: Providers must attest to their profile information every 90 days. Failure to re-attest is the most common cause of application freezes and delays.
    • Zero Gaps Allowed: All work history must be detailed chronologically. Unexplained gaps, even short ones, will cause significant credentialing delays.
    • Critical Documents: Core required uploads include the CV (dated/signed), state license, DEA certificate, and malpractice insurance policy.

 

Why CAQH ProView Matters for Credentialing With Insurance Companies?

If you plan to get credentialed with insurance companies like Cigna, Aetna, UnitedHealthcare, Blue Cross, or Medicaid, your CAQH ProView profile is going to be one of the first things they check. 

Most payers won’t even review your application until your CAQH is complete, accurate, and up to date.

CAQH acts like a central source of truth. Instead of sending your documents to every payer separately, they log into CAQH, pull your details, and verify your credentials from there. 

This is why an incomplete profile can slow everything down—missing documents, expired licenses, or outdated information often cause delays in provider enrollment.

How to Set Up Your CAQH ProView Account

Getting started with CAQH ProView is pretty simple once you know the steps. Here’s the easiest way to explain it:

  1. Create Your Account
    If a payer invited you, you’ll get an email with a CAQH ID. If not, you can go to the CAQH ProView website and register yourself. It only takes a few minutes.
  2. Log In and Verify Your Identity
    Once your account is created, you’ll log in and confirm your email, phone number, and basic details. This helps CAQH make sure the profile belongs to the right provider.
  3. Start Filling Out Your Profile
    You’ll see different sections: personal information, licenses, education, work history, malpractice insurance, and more. You can complete them one at a time—no need to do everything in one sitting.
  4. Upload Your Documents
    This includes your license, board certificates, CV, malpractice insurance, DEA (if applicable), and other required documents.

Setting up your CAQH ProView account is the foundation of the entire credentialing process. Once this part is done correctly, everything else becomes much easier.

What Providers Need to Complete in CAQH

Once your CAQH ProView account is set up, the main work is filling out your profile. Every insurance company depends on this information, so accuracy really matters. Here’s what you’ll need to complete:

  1. Personal & Contact Information
    Basic details about who you are, where you practice, and how payers can reach you.
  2. License & Certification Details
    Upload your state license, DEA (if you have one), board certifications, and any other credentials.
  3. Education & Training
    Schools attended, degrees earned, residencies, fellowships—this helps payers verify your background.
  4. Work History (With No Gaps)
    List every job and clinical position. Even short gaps must be explained, or payers will delay your application.
  5. Malpractice Insurance Information
    Upload your malpractice insurance policy and enter the coverage details. Payers review this very closely.
  6. Disclosure Questions
    CAQH asks about sanctions, board actions, or legal issues. Answer honestly—payers verify this.
  7. Required Documents
    You’ll need to upload a few essentials, like:
  • CV (dated and signed) 
  • State license 
  • DEA certificate 
  • Malpractice insurance 
  • Board certificates 
  • Photo ID (sometimes required) 

Completing these sections fully and accurately helps keep your credentialing on track and reduces back-and-forth with insurance companies.

Re-Attestation: The Most Important Step Providers Forget

Once your CAQH ProView profile is complete, the job isn’t over. CAQH requires you to attest to your information every 90 days. Attestation simply means confirming that everything in your profile is accurate and up to date.

If you forget to re-attest, most insurance companies stop reviewing your credentialing or recredentialing applications— even if everything else is perfect. This is one of the most common reasons providers experience unexpected delays.

Re-attesting only takes a minute, but it keeps your profile “active,” ensures payers can access your information, and prevents your applications from being put on hold. Keeping up with this step makes credentialing smoother and avoids unnecessary headaches down the road.

Common CAQH Issues Providers Face

Even when providers fill out their CAQH ProView profile carefully, there are a few common issues that still cause delays with insurance companies. These are the ones we see most often:

  1. Missing or Expired Documents
    If your license, DEA, malpractice insurance, or certifications aren’t uploaded—or have expired—payers immediately pause your application.
  2. Work History Gaps
    Even a short, unexplained gap (like two months between jobs) can create a verification problem. Payers expect a continuous timeline.
  3. Incorrect or Outdated Information
    Old addresses, an outdated CV, or missing practice locations can lead to back-and-forth requests and slow down the process.
  4. Not Granting Payer Access
    Sometimes, providers forget to let insurance companies “view” their CAQH profile. If the payer can’t see your information, they can’t credential you.
  5. Skipping the Re-Attestation Deadline
    If you miss your 90-day attestation window, the entire profile goes inactive—stopping all active credentialing applications.

How Get Credentialing Done Helps Providers With CAQH ProView

Managing CAQH ProView can feel like a lot, especially when you’re juggling patient care, documentation, and insurance requirements. 

That’s where Get Credentialing Done steps in. We handle the entire CAQH process for you, making sure your profile is complete, accurate, and always up to date.

We help providers set up their CAQH ProView account, upload all required documents, and fix any missing details that could delay credentialing. 

Our team also monitors your account and handles your 90-day re-attestations, so you never have to worry about your profile going inactive.

By keeping your CAQH clean and current, we make sure payers can access your information without delays—helping your credentialing applications move faster and smoothly. Our goal is simple: take the CAQH workload off your plate so you can focus on delivering care, not chasing paperwork.

 

FAQ

 

What exactly is CAQH ProView?

CAQH ProView is an online database where healthcare providers store their professional information—such as licenses, education, training, and work history—in one place. Instead of sending documents to each insurance company separately, you upload everything here once.

Why do insurance companies use CAQH?

Insurance companies like Cigna, Aetna, and Medicaid use CAQH as a centralized system to verify provider credentials. It serves as their main source of truth, helping them speed up credentialing and reduce paperwork.

What happens if my profile is incomplete?

If your CAQH profile has missing documents, expired licenses, or unaddressed gaps in your work history, insurers will not begin reviewing your application. An incomplete profile can completely pause the credentialing process.

What is re-attestation?

Re-attestation is the required step where you log into CAQH every 90 days to confirm that all information in your profile is accurate, current, and complete.

Why is the 90-day re-attestation so important?

If you miss the 90-day re-attestation, your profile becomes inactive. Once inactive, insurance companies lose access to your information and will immediately stop processing any credentialing or recredentialing applications.

What are the most common mistakes to avoid?

The most frequent mistakes include missing the 90-day re-attestation deadline, letting key documents expire, and failing to explain even short gaps in employment or work history. Avoiding these issues keeps your CAQH profile clean and reduces delays.

 

 

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