The No Surprises Act has made re-attesting provider information with ALL payors every 90 days mandatory. Failing to meet this requirement means you risk losing your payor contract (without warning).
Rather than manually check the information each payor has on file, the CAQH ProView for Groups feature makes this cumbersome process easier and less time-consuming. It also significantly reduces your risk of a payor terminating your contract.
What Is CAQH ProView for Groups?
Launched in January 2022, ProView for Groups gives you the ability to quickly manage the information your contracted health plans need for their directories. Rather than entering every piece of information for all your providers and every payor, CAQH ProView for Groups allows you to fill out the information just once and then duplicate it for every listing. This helps you stay compliant with the No Surprises Act without making the process too complicated.
This is a new feature of the CAQH ProView portal, so it’s free to use. You can register for your own CAQH ProView account (or check that you’ve got the Groups feature) here.
Benefits of Using CAQH ProView for Groups
The addition of CAQH ProView for Groups has made the enrollment and re-attestation process quicker and less stressful for you, decreasing the amount of time you spend checking and re-checking information with payors.
There are many other benefits to using this new feature for the enrollment process, including:
- Bulk-adding data into your roster or the portal decreases typing errors
- Status details for all providers, locations, and plans associated with your group are shown right in the portal
- Automated data validation eliminates the worry that you entered something wrong
- Enhanced security features protect the information you upload
- Get a jump-start on enrolling with a new payor before they initiate the process
- All-electronic submissions eliminate the need for cumbersome paper submissions
- Automated workflows notify health plans when new data is available without change reports
High-Level ProView for Groups
Below are the high-level steps to help you utilize the CAQH ProView for Groups.
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- Login to your CAQH ProView account.
- Download both the CAQH Provider template and the Practice Locations template.
- On the CAQH Provider template, insert the information for all providers you’re enrolling. Insert your group data on the Practice Locations template.
- Upload both files to your CAQH ProView profile. The information on these sheets will be checked for errors.
- If errors are found, you’ll be able to see and resolve any inaccuracies with the auto-generated error report.
- After any errors are corrected, you can begin assigning providers to the locations where they practice.
NOTE: Although the above steps seem simple, there are nuances throughout the process that can certainly lead to your provider data being incorrect. Unfortunately, the individual steps needed for you to master this process are too numerous to spell out in this post. Keep an eye out for the upcoming session on Healthcare Training Leader. During this upcoming training, an expert will take you through the process of mastering CAQH ProView for Groups so that you can comply with the new No Surprises Act guidelines more quickly and easily.
Beyond the addition of CAQH ProView for Groups, several changes to CAQH ProView and the credentialing and enrollment processes were rolled out for 2022. Be sure you’ve got the process down so nothing stalls your payments with Healthcare Training Leader’s online training session, Cut Through CAQH Credentialing Portal Confusion to Get Paid Faster. In this 90-minute training, you’ll get the latest guidance on CAQH ProView and all the shifts to the credentialing and enrolling process. Register for this online training today.
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