We offer the most comprehensive
provider and member data in the U.S.
Streamline
the Experience
CAQH connects 1,000 health plans to over 4 million provider records to simplify provider data management.
Optimize
Operations
We share accurate, timely data to maximize key business operations, like credentialing, directory management and coordination of benefits.
Reduce
Industry Costs
We gather and analyze healthcare business data and provide automation insights that save time, cut costs, and boost administrative efficiency for all.
Keep Care
at the Center
We work to simplify the business-side of healthcare so providers and patients can spend more time focused on health outcomes.
Trusted by stakeholders from across the healthcare ecosystem
to make healthcare work better
4.8M+
provider
records
1000
health plans
and other
entities
100%
national health
plan participation
235M+
member
records
10 federally
mandated
operating rules
Thought Leadership
Insights & Events
VIDEO
Transforming Healthcare for the Next Generation: Providers, Payers, and Beyond
This session at Connect 2024 explores the future of healthcare with insights on innovations in provider support, healthcare delivery, prevention, and business models.
REPORT
Provider Directories: What Impacts Accuracy
This Spring 2024 issue brief outlines the challenges of maintaining accurate provider directories along with federal and state initiatives that are driving improvements. The brief also sheds lights on some innovative solutions to reduce provider burden and enhance data quality.
CASE STUDY
Blue Cross and Blue Shield of Alabama: Proven Strategies for Improving Provider Credentialing Processes
Read this 2023 case study to learn how BCBSAL uses the CAQH Credentialing Suite to obtain provider data, verify primary sources, monitor sanctions and streamline operations.