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Independence offers our participating providers the Council for Affordable
Quality Healthcare® (CAQH) Universal Provider
DataSource® (UPD) for completing the recredentialing process.
The CAQH UPD is a single, national process that eliminates the need for
completing multiple recredentialing applications.
Beginning in February 2015, CAQH is making significant improvements
to simplify the recredentialing process even further. Along with these
improvements comes a new name: CAQH ProViewTM.
Benefits of using CAQH ProView*
The following new features will make it easier for health care providers to
make updates ? reducing the time and resources necessary to submit accurate,
timely data to Independence:
- complete and attest to multiple state credentialing applications in one
intelligent workflow design;
- upload supporting documents directly into CAQH ProView to eliminate the
need for manual submission and to improve the timeliness of completed
applications;
- review and approve Practice Manager information before data is
imported;
- protect against delays in data processing with more focused prompts and
real-time validation;
- self-register with the system before a health plan initiates the
application process.
New submission process
When CAQH ProView launches in February 2015, all providers must apply
online. Paper applications will no longer be accepted. CAQH ProView is a
completely electronic solution, allowing providers to easily submit information
through a more intuitive, profile-based design. The CAQH electronic
credentialing application is free to providers and available on the CAQH website. Independence
may still request paper documentation, such as billing forms and contracts;
however, the physician initial credentialing and recredentialing process with
CAQH will be paperless.
If you have questions about CAQH ProView, please email them to CAQH.
*This does not apply to Magellan Behavioral Health
contracted providers.
Magellan Behavioral Health, Inc., an independent
company, manages mental health and substance abuse benefits for most
Independence members.
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