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
Access CAQH Provider Data Portal
Important Links

Provider Login: https://proview.caqh.org/PR
Provider Registration: https://proview.caqh.org/PR
Provider Resources (login required): https://proview.caqh.org/PR/Resources
Brochure for the CAQH Provider Data Portal
Introductory information for Providers: https://www.caqh.org/providers
CAQH University (login required): https://www.caqh.org/resources/caqh-university

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.

Demographic changes will be updated in the provider directory within 48-hours from submission. Please allow up to 30 days for taxonomy, NPI, provider type and location updates. New taxonomies will be prioritized if recredentialing is needed.
You can access Find an In-Network Doctor, Hospital or Clinic to view your information in the provider directory.

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
For additional guidance, see the eLearning videos in our Provider Academy.

Please check Happening Now for any CAQH updates.