Payer enrollment10 min read

CAQH ProView Guide for Providers: Setup, CAQH ID, Attestation and Private Payers

R
Tim Huang · Updated

Key takeaways

  • CAQH ProView is the shared online profile most U.S. commercial health plans use to collect a provider's credentialing data, instead of each plan sending its own paper application.
  • It is free for providers. Your CAQH Provider ID is assigned when you register or when a participating plan adds you.
  • A profile only helps once it is complete, attested, and authorized for the plans you are applying to. Each plan must be given access.
  • You must re-attest every 120 days. A lapsed attestation can stall new applications and re-credentialing.
  • Most delays come from mismatches, such as a name, address, or taxonomy code that differs between CAQH, NPPES (your NPI record), and the plan's own records.

If you want to join commercial insurance networks, you will almost certainly need a CAQH ProView profile. It is the single place where most U.S. commercial health plans collect the information they use to credential you: licenses, education, work history, malpractice coverage, practice locations, and disclosures.

This guide walks through what CAQH is, how to get your CAQH ID, how to complete and attest your profile, how to give payers access, and how to keep it current so it never holds up an application.

What is CAQH ProView?

CAQH is a non-profit alliance of health plans and trade associations. ProView is its provider data system. Instead of filling out a different credentialing application for every plan, you enter your information once in ProView and each participating plan you authorize pulls it from there.

CAQH does not credential you or enroll you in a network. It stores and shares your data. Each plan still runs its own credentialing review and makes its own network decision, so you still apply to each plan separately.

From CAQH profile to payer enrollment
1
Provider
Completes & attests a CAQH ProView profile
2
CAQH ProView
Holds the universal, attested data
3
Payer pulls data
Plan accesses the authorized profile
4
Enrolled
Added to the network & able to bill

How to get (or find) your CAQH ID

Your CAQH Provider ID is the number plans use to find your profile. There are two ways to get one:

  • Self-registration: go to the ProView portal (proview.caqh.org) and register as a provider. You receive a CAQH Provider ID when registration is complete.
  • Plan-initiated: a participating health plan adds you to CAQH during its credentialing process. CAQH then emails you the ID and instructions to set up your login.

If you think you already have a profile but can't find the number, check old emails from CAQH or ask your credentialing contact at any plan you are already in-network with. Do not register a second profile; duplicates cause confusion with plans.

Step 1: Register your CAQH account

  1. 01Go to proview.caqh.org and choose to register as a provider.
  2. 02Select your provider type (physician, nurse practitioner, therapist, and so on).
  3. 03Enter your NPI, full legal name, date of birth, and practice location.
  4. 04Create your username and password, then confirm your email.

Registration tips

  • Use your legal name exactly as it appears on your NPI record and your licenses.
  • Use an email you check often. CAQH sends re-attestation reminders there.
  • If you practice in several states, have every license number and address ready before you start.

Step 2: Complete your CAQH profile

The profile is long, but it is organized into sections. Work through each one and save as you go.

Personal information and practice locations

  • Confirm your name, date of birth, NPI, and contact details.
  • Add every practice location, with your primary location first.
  • For each location, enter the practice name, address, phone, group NPI (if it has one), and the taxonomy code for the services you provide there.

Licenses and certifications

  • Every state license with its number and expiration date.
  • DEA and state controlled-substance registrations, if you have them.
  • Board certifications and hospital privileges.

Education, training, and work history

  • Every school, residency, fellowship, and training program, with start and end dates.
  • Past employment with practice names, addresses, and dates.
  • A short explanation for any gap in your work history.

Malpractice coverage and disclosures

  • Current and past malpractice carriers, policy numbers, limits, and dates.
  • Answer every disclosure question (claims, sanctions, exclusions) fully and honestly. A mismatch between your answers and what a plan finds in its own checks can delay or end an application.

Step 3: Upload your supporting documents

Plans expect these documents to be uploaded to your profile:

  • State licenses
  • DEA certificate (if applicable)
  • Board certification
  • Malpractice insurance certificate or face sheet
  • CV with month/year dates
  • Hospital privileges letter (if applicable)

Upload clear, complete scans, and replace each document as soon as it is renewed. An expired document on file is one of the most common reasons a plan pauses an application.

Step 4: Attest to your profile

Attesting is your confirmation that everything in the profile is accurate and current. Your profile is not usable by plans until it is attested.

  1. 01Review every section for accuracy and missing information.
  2. 02Complete the attestation step in ProView.
  3. 03Note the date. You will need to attest again within 120 days.

CAQH requires re-attestation every 120 days, even if nothing has changed. If your attestation lapses, plans can't rely on your profile, which can stall new applications and re-credentialing.

Step 5: Authorize the payers you're applying to

Plans can only view your profile if you give them access. In ProView you can authorize all participating plans or choose specific ones. If a plan tells you it can't see your profile, missing authorization is the first thing to check.

Then apply to each plan through its own process and give it your CAQH ID. The plan pulls your profile, runs its own verification, and may contact you for missing items.

Common issues during payer verification

  • Expired licenses, DEA, or malpractice documents still on file.
  • Taxonomy codes or practice addresses that don't match what the plan expects.
  • Name or address differences between CAQH, NPPES, and the plan's records.
  • Profile not authorized for that plan, or attestation lapsed.

Step 6: Keep your profile current

  • Re-attest every 120 days.
  • Upload renewed licenses, DEA, and malpractice documents as soon as you receive them.
  • Update practice locations when you add, move, or leave a site.
  • Keep your NPPES record matching your CAQH profile.
  • Keep one organized folder of current documents so updates take minutes, not hours.

Setting up a profile for the first time? Our shorter walkthrough covers the ProView screens step by step.

Read the CAQH ProView setup guide

Managing CAQH for many providers

For one provider, CAQH is a manageable chore. For a group, it becomes a calendar of 120-day re-attestations, document renewals, and payer authorizations across every provider. That is where things slip.

Rivon keeps each provider's documents and expiration dates in one place, reminds providers before re-attestation and renewals are due, and tracks each payer application. If you'd rather not manage it at all, Rivon's specialists can maintain CAQH profiles for you.

See how Rivon tracks CAQH, licenses, and payer enrollment for every provider.

Explore the Rivon platform

FAQ

Frequently asked questions

What is CAQH?
CAQH is a non-profit alliance of health plans. Its ProView system is a shared online profile where providers enter their credentialing information once, and the health plans they authorize use it to credential them.
How do I get a CAQH number?
Register as a provider at proview.caqh.org, or a participating health plan can add you during credentialing. Either way, CAQH assigns a CAQH Provider ID that plans use to find your profile.
How often do I need to re-attest my CAQH profile?
Every 120 days, even if nothing has changed. A lapsed attestation can stop plans from using your profile.
Does CAQH cost anything for providers?
No. CAQH ProView is free for providers.
Does a CAQH profile mean I'm in-network with insurance companies?
No. CAQH only stores and shares your data. You still apply to each plan, and each plan runs its own credentialing review and makes its own network decision.
Next step

Put this into practice with Rivon.

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