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

January 2015

Reminder: New Version of CAQH Coming in February

Next month, 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 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 email CAQH at proview@caqh.org with questions. In addition, the Healthcare Administration Solutions (HCAS) website includes 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. 

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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