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CAQH ProView Update

The following system improvements have published, please visit the CAQH ProView System Update web page for the latest information.

August 1, 2016 Published Improvements:

The Employment Information screens within CAQH ProView have been updated, making them easier to use. Additionally, some fields that were previously optional are now required, enabling healthcare providers to submit more complete profiles that require less follow-up work and reducing requests for additional information from health plans and other organizations.

  • Employment Information Screen: Providers are now able to enter their employment history, and clearly see if they have omitted any relevant information. The following changes have been implemented:
    • At least one employment record is now required. Attestation can no longer be completed without entering any employment information.
    • A summary screen now displays the provider's employment history. Any gaps greater than six months which require an explanation are automatically highlighted.
    • A drop-down menu with predefined options is available to select the appropriate reason for any gaps in employment.
    • A confirmation pop-up window appears if more than one employment record is marked as a current employer.
    • The "Help" information has been expanded throughout the Employment Information screens.
  • Required Fields: Select fields that were optional are now required. Healthcare providers may wish to allow additional time during the next re-attestation to complete these fields. The following fields are required:
    • Professional IDs section:
      • DEA State (for each DEA number entered into CAQH ProView).
    • Education section:
      • Did you complete your professional education at this school?
      • If yes, Completion Date.
    • Professional Training section:
      • End Date.
      • Did you complete the training program at this institution?
      • If yes, Completion Date.
    • Specialties section:
      • Does your board certification have an expiration date?
      • If yes, board certification expiration date.
      • If yes, board certification re-certification date.
    • Practice Location section:
      • Provider's start date.
      • Do you have an organization (Type 2) NPI?
      • If yes, NPI Type 2.
      • Gender Limitations.
      • If yes, Gender Limitations Type.
      • Are there any age limitations?
      • If yes, Age Minimum and Age Maximum.
These changes to CAQH ProView have not affected a provider's status in CAQH ProView or the ability for authorized participating organizations to view their data. For example, if a provider is in "Re-Attestation" status, their data profile has remained in that status, and authorized participating organizations still have access to data profiles. Only after logging in to their profile will providers be asked to complete any outstanding required fields, prior to completing their re-attestation.

Our Credentialing department may be contacting you for any missing information that is now required by CAQH. If you have any questions, please contact Hazel Sevilla at (302) 266-9166 xt. 633.





United Medical LLC, led by founder Kemal Erkan, has been a full-service network providing tiers of solutions for medical practices since 2005. As a Cerner™ Ambulatory partner, the group operates with a unique objective in mind: to unite providers and patients under one Accountable Care Organization (ACO). The goal is to work with individual practices to increase the quality of patient care, streamline processes in the office and leave more time for each patient.
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For any questions or concerns on these updates,
please contact us at info@umusa.net



United Medical, LLC
161 Becks Woods Drive, Bear, DE 19701
P: 1-877-266-9166 | Fax: 302-451-5614
www.umusa.net