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AmeriHealth offers our participating providers the Council for Affordable
Quality Healthcare® (CAQH) Universal Provider
DataSource® (UPD) for completing the recredentialing process.
The CAQH UPD is a single, national process that eliminates the need for
completing multiple recredentialing applications.
Beginning in February 2015, CAQH is making significant improvements
to simplify the recredentialing process even further. Along with these
improvements comes a new name: CAQH ProView™.
Benefits of using CAQH ProView
The following new features will make it easier for health care providers to
make updates ? reducing the time and resources necessary to submit accurate,
timely data to AmeriHealth:
- complete and attest to multiple state credentialing applications in one
intelligent workflow design;
- upload supporting documents directly into CAQH ProView to eliminate the
need for manual submission and to improve the timeliness of completed
applications;
- review and approve Practice Manager information before data is
imported;
- protect against delays in data processing with more focused prompts and
real-time validation;
- self-register with the system before a health plan initiates the
application process.
New submission process
When CAQH ProView launches in February 2015, all providers must apply
online. Paper applications will no longer be accepted. CAQH ProView is a
completely electronic solution, allowing providers to easily submit information
through a more intuitive, profile-based design. The CAQH electronic
credentialing application is free to providers and available on the CAQH website. AmeriHealth
may still request paper documentation, such as billing forms and contracts;
however, the initial credentialing and recredentialing process with CAQH will
be paperless.
Note: Providers in New Jersey can also use the New Jersey Universal
Physician Application form.
If you have questions about CAQH ProView, please email them to CAQH.
*This does not apply to Magellan Behavioral Health
contracted providers.
Magellan Behavioral Health, Inc. manages mental health and substance abuse
benefits for most AmeriHealth members.
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