CAQH Participation is required in the majority of the states to join our network. If your state requires it, you will be required to enter your CAQH ID # on the credentialing application. To participate in CAQH, please contact: www.CAQH.org
We recently conducted an audit of credentialing application issues. Here's an at-a-glance view of the most common issues that will slow down or lead to the cancellation of the credentialing of your application to join our network.
| Category | Issues |
Requirement |
|---|---|---|
| CAQH | Information not currently up to date. (Examples: Practice information, Credentialing contact, education, specialty attestation, mismatched DOB, work schedule hours) | The information on CAQH must match the information you provide on the Optum NPRF form. |
| Attached Documents |
|
Providing all the correct and completed documents is required. |
| Document Return |
Slow response time to requested information.
|
Missing documents are sent out via DocuSign. Sign and return as quickly as possible. |
| Providers who are applying to re-join the network |
If you joined the network by using this portal in the past, and then left the network and are trying to re-apply:
|
|
After clicking the Continue button you will be prompted to register or login to Provider Express. Once you are logged in to Provider Express, please use the Join Our Network feature in the menu to proceed to the credentialing application.