Frequently Asked Questions
Can a practice administrator access the CAQH database for all of the providers in a practice?
Yes, the UPD Practice Administrator Module makes it easy to enter data common to multiple providers in a group. Go online to https://upd.caqh.org/Login?Type=PM to enter the Practice Administrator Module and create an account. Data common to multiple providers in a group may be entered through the “Export” function.
Is there a cost to access the CAQH database?
No, there is no cost for physicians and other health care providers to use the credentialing application database.
Can I use the CAQH database to report any changes to my practice, such as address and new providers?
The CAQH UPD is the data collection source for credentialing and recredentialing applications. We will access CAQH UPD for your data at initial credentialing and during your scheduled recredentialing cycle every third year. You must continue to directly notify BCBSMT of any changes to your practice information or status. Update Information Form.
How often must my information be updated?
You will be sent automatic reminders to review and attest to the accuracy of your data. You must review and authorize data once every four (4) months. This is accomplished through an online visit to CAQH or by calling the CAQH Help Desk at 888-599-1771 for assistance.
Why do I need to review and attest to my information three (3) times a year?
Because BCBSMT will be using this system for credentialing and recredentialing, it is important that the CAQH/UPD database contains the most accurate and up-to-date information. By reviewing and attesting to your data three (3) times a year, you will enable BCBSMT to obtain current information from the CAQH ProvView database at the time of recredentialing or database updates, without having to contact you repeatedly. This will help you continue to conform to the requirements of your network contract.
Can any health plan access my data?
No. You control which health plan(s) have access to your CAQH application information. When completing the application, you will have the option of granting global access to your application data, or you may choose to select which participating health plan(s) and health care organization(s) you want to view your data.
Who will have access to my data?
No one can access your application data except for the health plan(s) that you have authorized.
Do I have to provide my Social Security Number?
Your Social Security Number is required to complete the application and will be used to verify your credentials.
How do I input my data if I do not have Internet access?
If you do not have Internet access, you may call the CAQH Help Desk at 888-599-1771 and complete the application by telephone. Supporting documents may be faxed toll free to 866-293-0414.
Who do I contact for administrative support if I have questions when utilizing the database?
The CAQH Help Desk provides telephone service Monday through Thursday, from 5 a.m. to 7 p.m., MT, and Friday, from 5 a.m. to 5 p.m., MT, to assist with any questions you may have. You may reach the Help Desk by calling 888-599-1771 or by firstname.lastname@example.org.