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Health Plans

CAQH data solutions help plans streamline operations, reduce costs, gain insights and deliver a better experience to providers, groups and members.

Data Driven

The CAQH Provider Data Portal includes professional and practice data on 2 million healthcare practitioners in every state. Because this information is submitted, updated and confirmed by the providers themselves, it is the most comprehensive and accurate data source of its kind. The CAQH Member Data Portal supplies coverage information for 200 million members and is an unmatched tool for improving payment integrity.

Industry Endorsed

Health plans that serve 9 out of 10 commercial lives rely on CAQH to streamline business processes, access a wealth of accurate and actionable data, and deliver a better experience to both providers and members. 

"Accessing quality data is fast and easy. The credentialing solution has improved our credentialing process tremendously."

Credentialing Specialist Lead

"The COB solution sells itself. Add to that a transparent pricing model and outstanding service and technical support, and you've got a wining combination."

Team Lead - COB & Medicare Claims

"My account manager has an understanding of our unique needs and is able to translate that insight to support our directory management and credentialing initiatives."

Supervisor, Provider Operations

4.8 M

provider records

provider records in the Provider Data Portal

1.4 M

providers

have attested within 120 days

73 %

of physicians

use CAQH solutions to enter and update information

101 K

dentists

have a complete profile

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Reduce provider abrasion. Manage networks more efficiently. Maximize internal resources.