CAQH Profile Setup Guide for Therapy Providers

Credentialing Now · · 4 min read

If you're a therapy provider who needs to get credentialed with insurance payers, your CAQH ProView profile is one of the most important things you'll set up. Nearly every commercial insurance company pulls provider information from CAQH, so an incomplete or inaccurate profile will delay your credentialing across the board.

What Is CAQH ProView?

CAQH ProView is a universal provider credentialing database used by most health plans in the United States. Instead of filling out separate applications for each insurance company, you complete one comprehensive profile in CAQH, and participating payers access your information from there.

For therapy providers, this means your credentials, licenses, and practice information are all stored in one centralized location — whether you practice occupational therapy, physical therapy, speech-language pathology or audiology.

Getting Started

To create a CAQH ProView account, you'll need a CAQH provider ID number. In most cases, a participating health plan will assign you a CAQH ID when you begin the credentialing process with them. If you don't have one yet, you can self-register at the CAQH ProView website.

You'll need the following information ready before you start:

Personal information including your full legal name, date of birth, Social Security number, and contact details.

Education history including your degree program, institution name, and graduation dates.

Professional licenses for every state where you practice, including license numbers and expiration dates.

Board certifications such as NBCOT for OTs, ABPTS specialty certifications for PTs, or ASHA CCC for SLPs.

Work history for the past several years, including employer names, dates, and addresses.

Malpractice insurance information including your carrier, policy number, coverage amounts, and expiration date.

Practice location details for every site where you see patients.

NPI number (both Type 1 individual and Type 2 organizational if applicable).

Completing Your Profile

Take your time completing the profile thoroughly. Rushing through it and leaving fields blank or entering approximations will cause problems later. Payers will reject applications that reference incomplete CAQH profiles.

Pay special attention to these sections:

Practice locations: List every address where you provide services. If you work at multiple clinics, each location needs to be listed separately with its own details.

Disclosure questions: Answer every question honestly and completely. If you answer "yes" to any disclosure question, provide a thorough explanation. Unexplained disclosures will delay your credentialing.

Supporting documents: Upload clear, legible copies of all required documents. Blurry scans or expired documents will result in requests for resubmission.

The Critical Attestation Step

This is where many providers make a costly mistake. After completing your profile, you must attest to the accuracy of your information. Attestation is essentially your digital signature confirming everything in your profile is current and correct.

Here's the important part: CAQH attestation expires every 120 days. If your attestation lapses, payers can't access your profile, and any pending or future credentialing applications will stall. That single lapse is often the difference between a 60-day approval and a 120-day one — see how long credentialing takes for the full timeline breakdown.

Set a recurring reminder to re-attest your CAQH profile every 90 days (giving yourself a 30-day buffer before expiration).

Keeping Your Profile Current

Whenever something changes, update your CAQH profile immediately. This includes new licenses, address changes, updated malpractice insurance, new practice locations, or changes to your professional status.

At a minimum, review your entire profile every time you re-attest. This ensures nothing is outdated and prevents issues during payer credentialing.

Common Mistakes to Avoid

Forgetting to attest after making updates. Every time you change your profile, you need to re-attest.

Listing an expired license or certification. Even if your renewal is pending, an expired credential in CAQH will flag your profile.

Incomplete practice location information. Every practice site needs a complete address, phone number, and the services offered at that location.

Not uploading supporting documents. Some providers complete the profile fields but skip the document uploads. Payers need to see the actual license, certification, and insurance documents.

CAQH problems are one of five credentialing mistakes that quietly cost therapy practices months of billable time.

Credentialing Now helps therapy practices manage CAQH profiles alongside the rest of the credentialing process. We track attestation deadlines, flag expiring documents, and ensure your profile stays current so your payer applications are never delayed. See pricing to find the plan that fits your provider count.

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