The Record header image

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

April 2023

Reminder: Health care providers must confirm data every 90 days and attest in CAQH every 120 days

What you need to know

To remain listed in Blue Cross Blue Shield of Michigan provider directories, including Find a Doctor, health care providers must re-attest every 120 days.

Have you confirmed data within the past 90 days and attested in CAQH within the past 120 days? If health care providers don’t re-attest with CAQH every 120 days, they won’t be included in Blue Cross Blue Shield of Michigan provider directories. This 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.

CAQH is a nonprofit alliance of health plans and trade associations focused on simplifying health care administration. Blue Cross uses CAQH to gather and coordinate our practitioner credentialing information. All health care practitioners, including hospital-based providers, 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 2022 American Medical Association. All rights reserved.