Find out the next steps for CAQH Direct Assure 2.0

About 25% of our practitioners are currently participating in CAQH Direct Assure. We’ll continue rolling out Direct Assure in phases, with the goal of having all providers using Direct Assure by the end of December 2019.

The next step is to roll out Phase IV of Direct Assure at the end of June. Practitioners who will be included in this rollout are doctors who are likely to be audited by the Centers for Medicare & Medicaid Services:

• Primary care physicians
• Cardiologists
• Oncologists
• Ophthalmologists

What you need to do
To make a smooth transition to CAQH Direct Assure, continue to keep your CAQH record updated with your correct practice location information. You can familiarize yourself with the Direct Assure application by watching the Updating your practice locations in CAQH ProView video tutorial. This video will walk you through the screens and steps involved in providing your current location information to Blue Cross through CAQH.

While making updates to practice locations in CAQH, keep the following in mind:

• If, after logging in to CAQH, you see a pop-up message that says Help Patients Find You, that means that you’re now participating in Direct Assure.
• Once you’re active with Direct Assure, when you add, delete or update a group’s address in CAQH, that information will be sent to Blue Cross for processing.
• Don’t forget to add your Type 2 NPI information for each location.
• Selecting I see patients here one day per week or I see patients one day per month on the Practice Affiliation page will display the location in the directory. If a practitioner doesn’t offer appointments for patients at this location, he or she should select Other so the record doesn’t display in the directory.

If you have questions, you can reach out to CAQH directly at 1-888-599-1771 or contact Provider Enrollment at 1-800-822-2761.