If you want to keep your medical practice’s revenue flowing smoothly in 2026, your providers’ CAQH profiles must be accurate, up to date, and fully compliant with the latest changes. Whether you’re enrolling a new provider, updating credentials, or managing a group practice, the CAQH portal is a critical piece of the payer enrollment puzzle. But it’s also a process that—if mismanaged—can lead to denied claims, enrollment delays, and regulatory violations.

In this practical training session, we’ll walk through the CAQH Provider Data Portal step-by-step, explain how to add/remove providers and data, and demonstrate how to attest and maintain profiles effectively. You’ll also learn how to use CAQH ProView and Groups modules, understand delegated vs. non-delegated agreements, and implement workflows that improve reimbursement turnaround time while reducing payer holds and claim rejections.

Learning Objectives:

• Understand and implement the latest 2026 CAQH updates to stay compliant.
• Identify whether new CAQH modules are needed for your practice setup.
• Accurately create, update, and attest CAQH profiles for individual providers and groups.
• Recognize the impact of CAQH data accuracy on payer enrollment, credentialing, and reimbursement.
• Navigate the ProView and Groups modules, including delegated/non-delegated agreements.
• Establish a structured internal process for ongoing CAQH account maintenance and attestations.
• Reduce payer delays by improving profile management and data submission protocols.

Areas Covered:

• Overview of the CAQH Provider Data Portal and its purpose
• Step-by-step navigation for:
  • Creating new provider profiles
  • Adding/removing providers and specific data fields
  • Attesting profiles for recredentialing

• Delegated vs. Non-Delegated Agreements
• Using the Groups Module:
  • Group details, contacts, and EIN/TIN
  • Adding Medicaid, Medicare IDs
  • Assigning providers to locations
  • “Our Plans” section for delegated entities
• Best practices for maintaining provider and group profiles
• Strategies to reduce payer enrollment delays and reimbursement risks
• Compliance with No Surprises Act requirements related to provider directories

Why Should You Attend?

If you’re responsible for provider enrollment, credentialing, billing, or compliance, this training will help you:

• Stay compliant with the latest CAQH 2026 updates and requirements
• Reduce reimbursement delays due to profile errors or missed attestations
• Improve your internal workflows for data entry, maintenance, and provider assignments
• Avoid costly delays caused by incomplete or incorrect CAQH submissions
• Understand how CAQH supports regulatory compliance under the No Surprises Act

This session is designed to provide both step-by-step training and strategic insights to improve your bottom line.

Target Audience:

• Medical Practice Owners
• Practice administrators
• Medical billers
• Medical Credentialing Specialists
• Medical compliance officers.