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Medical Billing Glossary

CAQH

A shared provider profile many payers use to pull credentialing information.

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Definition

CAQH (the Council for Affordable Quality Healthcare) runs a widely used online profile where providers maintain their credentialing information in one place. Many payers draw from a provider’s CAQH profile during credentialing and re-credentialing instead of collecting the same data separately.

Keeping the profile complete and attested (regularly confirmed as current) is what lets payers verify a provider without repeated paperwork.

Why it matters for billing

A stale or unattested CAQH profile is a common, invisible cause of credentialing delays — and a provider who is not credentialed cannot bill. Keeping the profile current and attested on schedule keeps enrollment moving and revenue flowing.

Related terms

Terms that come up alongside CAQH in the revenue cycle.

Billing that gets CAQH right

EnVisionMD RCM handles eligibility, coding, documentation, denials and follow-up end to end — so the details behind terms like this one are managed for you, not left to chance.

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CAQH — frequently asked questions

What is CAQH used for?

It holds a provider’s credentialing information in one profile that many payers use during credentialing and re-credentialing.

Why does the profile need to be attested?

Payers rely on current, attested information; an out-of-date or unattested profile can stall credentialing.

Authoritative References

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