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April 2024

Reminder: Confirm data every 90 days, attest in CAQH every 120 days

What you need to know

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

Have you confirmed your data within the past 90 days and attested in CAQH within the past 120 days? Health care providers are required to confirm the following data elements every 90 days: name, specialty, address, phone number and digital contact information. Providers are also required to re-attest every 120 days for all other data elements, including credentialing, licensing and demographics.

If providers don’t re-attest with CAQH every 120 days, they won’t be included in Blue Cross Blue Shield of Michigan’s provider directories, including our Find a Doctor search tool. Your credentialing status will end if you fail to re-attest, and you’ll need to reapply.

It’s important to attest with CAQH to:

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

Providers who practice at an office location or practice exclusively in an inpatient hospital setting also need to perform this attestation. If you’re practicing exclusively in an inpatient hospital setting, you must indicate that 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 2023 American Medical Association. All rights reserved.