CAQH attestation is the part of credentialing that catches everyone off guard. You complete your initial attestation, you get enrolled with your payers, and then 120 days later your attestation expires and nobody tells you until the denials start.
How CAQH attestation works
CAQH ProView requires you to attest that your information is current every 120 days. This is not a re-enrollment — it is a quick confirmation that nothing has changed. If nothing has changed, it takes about five minutes.
But if you miss it:
- Your CAQH profile goes “inactive”
- Payers that pull from CAQH see the inactive status
- Some payers will suspend your enrollment
- Claims submitted during a suspension are denied
- You must re-attest and then re-verify with each affected payer
The cost of a missed attestation
We have seen practices lose 60–90 days of revenue because of a lapsed CAQH attestation. The denials come in waves, and by the time the practice realizes what happened, they have a backlog of claims that need to be resubmitted after the enrollment is restored.
For a solo practice doing 80 claims a month, a 60-day lapse at an average reimbursement of $120 per claim means roughly $9,600 in delayed or lost revenue.
Our approach
We track CAQH attestation dates for every practice we manage. The workflow is simple:
- Day 100: We send a reminder to the provider
- Day 110: We confirm attestation is complete
- Day 120: We verify the profile shows “active”
- If anything is wrong: We escalate immediately, before the lapse affects enrollments
This is the kind of thing that seems small until it is not. One missed attestation can cascade into months of denials.
Last verified: August 2026. CAQH ProView policies are subject to change — check caqh.org for current requirements.
