CAQH Provider Data Portal
Update your information and ensure accurate and timely payments!
Effective April 1, 2024, BCBSNE will no longer make updates from forms or emails. Changes must be submitted and attested to in the CAQH Provider Data Portal.
What information do I need to keep updated in CAQH?
- Name
- Address
- Office locations
- Phone and fax number for the specific practice location
- Accepting new patients
- Email address
- Languages spoken
- NPI
- Specialties
Important Links
Provider Login
Provider Registration
Provider Resources (login required)
Brochure for the CAQH Provider Data Portal
Introductory information for Providers
CAQH University (login required)
CAQH Provider Portal FAQs
Information and Updates
No, CAQH updates are currently specific to practitioners.
Any provider that is participating with BCBSNE and has a CAQH ID/Profile has to give access through CAQH in order for BCBSNE to access their data. If you are receiving this email, then you have a CAQH profile, and you do not have access set up for BCBSNE to retrieve your data.
What if I am a delegated provider and my updates are being sent to BCBSNE through separate process – do I need to change CAQH process?
You only need to update access through CAQH if you want your updates to come through that portal instead of the process your delegation has set up.
What if I don’t respond to this email to set up access? Do I run the risk of being termed?
If you are a delegated provider, you do not run the risk of being termed, because your delegation has a process set up for updates and 90-day audit reviews.
If you are contracted and credentialed through BCBSNE and don’t authorize them to access information from CAQH, then your data won’t be updated. If you don’t review your profile and attest to it every 90-days, then you will be at risk for termination as that is a federal requirement.
Provider and Practice Managers
Hours of operation: Monday-Friday 8am-8pm (ET)
Telephone: 888-599-1771
Chat hours of operation: Monday-Friday 8am-6:30pm (ET)
Chat automation hours of operation: 24/7
Chat URL: Proview.CAQH.org/PR
BCBSNE in-network providers are required to verify demographic data every 90 days. Attesting to your information in CAQH replaces the requirement to review your provider directory information in NaviNet®.
Those updates would be passed to BCBSNE and update the profile that BCBSNE has for that provider.
There no changes to the processes below. The appropriate instructions and forms can be found in NaviNet.
- Adding or updating EFT information
- Adding or updating ERA information
- Terminating all locations
- Adding Provisional Providers RBT's and BCaBA's
- Updating information for facilities/institutions
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