Reminder: Professional practitioners must attest to data as required in CAQH

All professional practitioners, including those who practice at an office location or exclusively in an inpatient hospital setting, need to attest to their data.

Attestation must be completed in the CAQH Provider Data Portal, formerly known as CAQH ProView^®, every 90 and 120 days as follows.

What to do every 90 days

Professional practitioners must attest to the following data elements every 90 days: name, specialty, address, phone number and digital contact information. Attestation is required even if no changes are needed.

This is a requirement of the Consolidated Appropriations Act.

What to do every 120 days

Professional practitioners are also required to attest to all other data elements every 120 days. This includes elements related to credentialing, licensing and elements other than those listed in the previous section.

Your credentialing status will end if you fail to attest, and you’ll need to reapply.

Why you need to do this

If professional practitioners don’t attest in CAQH as required, they won’t be included in the Blue Cross Blue Shield of Michigan and Blue Care Network provider directories, including our Find a Doctor search tool.
It’s important to attest with CAQH to:

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

Additional information

If you’re practicing exclusively in an inpatient hospital setting, you must indicate that on your CAQH credentialing 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 and BCN use CAQH to gather and coordinate our professional practitioner credentialing information. All health care practitioners, including hospital-based providers, must be registered with CAQH.

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

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.