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October 2021

Notice: Health care providers must attest in CAQH every 90 days

What you need to know
To remain listed in Blue Cross provider directories, including Find a Doctor, health care providers must re‑attest every 90 days.

Have you attested in CAQH within the past 90 days? CAQH is a nonprofit alliance of health plans and trade associations focused on simplifying health care administration. If health care providers don’t re-attest with CAQH every 90 days, they won’t be included in Blue Cross Blue Shield of Michigan provider directories. That includes our Find a Doctor search tool. That’s why it’s so important to perform this task.

Here are some other reasons to re-attest with CAQH:

  • Ensure that your affiliation with Blue Cross isn’t interrupted.
  • Keep your contact information up to date.
  • Make sure that claims payment isn’t interrupted.

Regardless of whether  providers are practicing at an office location or practicing exclusively in an inpatient hospital setting, they need to perform this attestation.

If you’re practicing exclusively in an inpatient hospital setting, you must indicate it on your CAQH application. This information is used to determine whether full credentialing is required.

Blue Cross uses CAQH to gather and coordinate our practitioner credentialing information. All health care practitioners, including hospital-based providers and nurse practitioners, need to be registered with CAQH.

If you have questions about CAQH, call the help desk at 1-888-599-1771, or go to CAQH.org.**

**Blue Cross Blue Shield of Michigan doesn’t own or 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 2020 American Medical Association. All rights reserved.