The Record - for physicians and other health care providers to share with their office staffs
May 2013

Hospital-based practitioners encouraged to keep CAQH information current

Blue Cross Blue Shield of Michigan and Blue Care Network’s enrollment and credentialing system is programmed to be consistent with the Council for Affordable Quality Healthcare database.

That’s why it’s so important to keep your information updated on CAQH, which serves as our official application and is used to update our systems. In order to maintain data accuracy, practitioners who do not keep up their CAQH attestation are not listed in the directory. CAQH requires application reattestation every 120 days, regardless of whether you are practicing at an office location or practicing exclusively in an inpatient hospital setting.

If you are practicing exclusively in an inpatient hospital setting, be sure you have indicated this on your CAQH application, as this information is used to determine whether full credentialing is required.

If you have any questions about CAQH or the credentialing process, refer to the CAQH website at caqh.org*, call the CAQH help desk at 1-888-599-1771 or call your BCBSM or BCN provider representative.

*BCBSM does not control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.