Harvard Pilgrim Health Care Home
  Learn more.
  Sign up for HPHConnect.
Medical Management
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Office Support
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

December 2014

New Version of CAQH Coming in 2015

In early 2015, CAQH will be launching a new version of the online application system that Harvard Pilgrim currently uses for provider credentialing and recredentialing. The Universal Provider DataSource–UPD will be renamed as CAQH ProViewTM. The updated system will offer new features that increase ease of use and functionality for providers, including:

  • The ability for providers to join CAQH directly
  • The ability to upload supporting documents directly into the application, eliminating the need for fax submissions
  • More focused prompts and real-time validation of selected data elements to avoid delays in application processing

If you have entered new data recently, be sure to attest to your information before the end of January to ensure that your newly entered data is carried over to the new system. Additionally, certain fields that are currently optional, such as email address, will be required to facilitate password reset functions.

To learn more about the updated application, please refer to the CAQH ProView Frequently Asked Questions or contact CAQH at upd@caqh.org with questions. In addition, the Healthcare Administrative Solutions (HCAS) website will include information from CAQH on the newly updated system; Harvard Pilgrim is a participating member of HCAS, a health plan collaborative founded in 2005 to simplify administrative processes for providers and health insurers.

Please note that if any changes have occurred in your practice — a change in address, an addition to or change in tax identification number (TIN), adding an LCU affiliation, etc. — including the updated information in your online CAQH ProView application will not automatically update it in Harvard Pilgrim’s system. It’s important to inform Harvard Pilgrim about any changes to your practice in writing, and we recommend that you use the Harvard Pilgrim Provider Change Form for this purpose. 

Email this article to a colleague   

Network Matters Archives

Download printer-friendly version


New Maine Mandate for Oral Chemotherapies

New Version of CAQH Coming in 2015

Medicare Advantage Provider Payments & the Sequestration Reduction


New Quantity Limit for OxyContin

How Care Management Improves Coordination Across Multiple Settings

Specialty Pharmacy Program Updates

Acupuncture Benefit Offered in 2015

Schizophrenia and the Risk of Metabolic Syndrome

PCPs and Behavioral Health Care Providers — Working Together


Remember to Complete Your Provider Satisfaction Survey


Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Joseph O'Riordan,
Contributing Writer

Kristin Edmonston,
Production Coordinator