Most commercial payers read a provider's profile in the CAQH Provider Data Portal (formerly ProView) instead of sending a questionnaire of their own, and each still takes its own application.A When the profile has a gap, the payer seldom refuses. It holds the file and asks, and the clock stops until someone answers.
Run this list for each provider before a single application goes out. The boxes clear when you leave the page.
The checklist.
0 of 8 checked
What to do with an unticked box.
Fix NPPES first, because payers check the other records against it. Then bring CAQH into line, re-attest, and check the release list against the plans on your filing order. A document due to expire while a commercial application is open is worth renewing early, since commercial plans take months to decide.A
The Payer Enrollment Sprint closes these gaps before anything is filed. CAQH setup or repair is $300 per provider. The field note on CAQH mistakes explains each check in more depth.
Sources
- GetPracticeHelp, credentialing timelines by payer type. A vendor guide without a sample, cited for how enrollment is structured and the broad order of payer timing. Read 2026.
- Credentialing vendors' published summaries of CAQH profile re-attestation. Read 2026.
- CMS, NPPES, the national register of NPIs, and its public NPI files. Read 2026.