Credentialing Made Easier

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Blue Cross and Blue Shield of North Carolina (Blue Cross NC), working with the Council for Affordable Quality Healthcare (CAQH), is committed to streamlining the administrative process for physicians and other health care providers. Blue Cross NC has been an active participant in CAQH's efforts to help eliminate the need for physicians and other health care providers to fill out and submit multiple credentialing/recredentialing applications.

Data Source Alleviates Administrative Requirements

The innovative credentialing system works this way–each physician or health care provider will submit just one standard application to a single database that is designed to meet the informational needs of participating health plans.

Benefits include:

  • Easy online or fax submission of information.
  • Providers can easily update their information anytime and will be asked quarterly to verify the accuracy of the information on file.
  • Blue Cross NC can access the credentialing information anytime as long as the provider has authorized it.
  • Blue Cross NC continues to conduct data verification and review and makes an independent decision about whether a provider meets our standards for participation.

There is no cost for physicians and other health care providers to submit information to the credentialing data collection system. The costs associated with developing and maintaining the system are paid by the participating CAQH health plans. Today, over 300,000 providers nationwide are now reducing paperwork and administrative costs through the Universal Credentialing DataSource® (UCD).

In developing the system, CAQH worked closely with health plans, providers, professional associations and accreditation organizations to help make the system meet the needs of all involved in the credentialing process. CAQH selected GeoAccess, a leader in health care data management, as its technology partner. GeoAccess collects, maintains and secures all data in its state-of-the-art data center.

To learn more about CAQH and the CAQH UCD, please visit their Web site at CAQH.org, where you can view an online demonstration of the system. You can also review our frequently asked questions.

  • Providers