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.
As previously communicated, CAQH made significant improvements to simplify
the recredentialing process even further. Along with these improvements came a
new name: CAQH ProViewTM. The launch of CAQH ProView is scheduled
for March 2, 2015.
Benefits of using CAQH ProView
The following new features make it easier for health care providers to make
updates — reducing the time and resources necessary to submit accurate,
timely data to Independence. CAQH Proview gives providers the ability to:
- 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, all providers must apply online. Paper
applications are no longer 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
initial credentialing and recredentialing process with CAQH will be
paperless.
If you have questions about CAQH ProView, please email them.
*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.