CAQH Maintenance: The Silent Revenue Killer Most Practices Don’t See Coming
What Every Healthcare Leader Needs to Know About CAQH in 2025
CAQH ProView is a cornerstone of modern credentialing — but the industry often underestimates how much attention it requires. Inconsistent maintenance, missed re-attestations, outdated documents, or overlooked expiration dates can create massive slowdowns that directly interfere with a provider’s ability to work and bill.
While the CAQH platform may look simple on the surface, the operational risk it carries is anything but.
Why CAQH Maintenance Matters More Than Ever
1. Re-attestation every 120 days
Many organizations believe CAQH is “set it and forget it,” but the system requires routine re-attestation every four months — meaning every provider needs multiple touchpoints every year.
2. Providers cannot be credentialed with payers without an active CAQH
This is often where practices are blindsided. A single expired license, outdated malpractice certificate, or missing DEA automatically halts the process.
3. Payers now rely more heavily on CAQH validation
More payers are moving toward automated pulls from CAQH, meaning any gap affects multiple insurance plans at once.
4. Delays create revenue loss
Outdated CAQH profiles can prevent:
Claims from being processed
Providers from being shown as in network
Payers from approving new enrollments
Even a one-week lapse can create a domino effect.
Common Problems We See Inside Organizations
Providers who forget to re-attest
Missing or expired documents
Payer access issues
Incorrect personal information
Uploaded files in the wrong format
Staff unsure which documents CAQH requires
No reminder system
No dashboard or visibility across all providers
These issues scale quickly — especially for growing organizations or those with multistate providers.
How My Provider Credentialing Solves CAQH Challenges
We turn CAQH into an effortless, well-organized workflow.
Our approach includes:
Automated re-attestation reminders
Proactive document collection
Batch uploading for multi-provider groups
Dashboard-style visibility
Payer access management
Real-time tracking of upcoming expirations
Error-free profile completion
Alerts for inconsistencies that could delay credentialing
When providers’ CAQH profiles stay fully updated, your credentialing moves faster, cleaner, and with no unexpected interruptions.
The Business Impact of Getting CAQH Right
Faster payer enrollment
Fewer denials and delays
Stronger payer relationships
Shorter onboarding time
Better continuity of care
Higher provider satisfaction
Most importantly: avoiding costly downtime where providers cannot bill.
CAQH is often treated as a simple administrative step, but it is, in reality, a central revenue-control mechanism. Problems within CAQH profiles are one of the top hidden causes of credentialing delays nationwide.
With My Provider Credentialing, your CAQH maintenance becomes seamless, compliant, and fully optimized — so nothing stands between your providers and your revenue.
