CAQH
CAQH Profile Setup and Re-Attestation: Avoiding Credentialing Holds
Why commercial health plans rely on CAQH, what triggers profile suspension, and how to maintain continuous attestation.
Pay It Safe Editorial Team (Credentialing & Enrollment Coordinators)Published: • Updated: 5 min read
How Health Plans Use Your CAQH Profile
Most commercial insurers pull provider credentialing data directly from CAQH. If a provider has not authorized the health plan to view their profile—or if their 120-day attestation window has expired—the payer cannot finalize enrollment or recredentialing.
Key Maintenance Habits
Treat CAQH as a living compliance record rather than a one-time application:
- Update renewed malpractice insurance policies and state licenses before their expiration dates.
- Re-attest every 90 to 120 days even if no demographic details have changed.
- Ensure practice service locations and billing tax IDs match your W-9 and NPPES records.
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