Credentialing with CAQH ProView

We use the American Dental Association^® (ADA) credentialing service, powered by the Council for Affordable Quality Healthcare, Inc. (CAQH) ProView^®, the industry standard for capturing and sharing self‑reported professional and practice information. It streamlines provider data collection by using a standard electronic form that meets the needs of most dental plans, hospitals, and other healthcare organizations. Learn more by visiting ADA.org/credentialing.

Getting started

Review the dental credentialing application checklist at ADA.org/credentialing and gather required documentation prior to filling out your profile. Doing this will help first‑time users complete the profile in about an hour.

Practicing dentists can sign up for credentialing on ADA.org/godigital. Once terms and conditions are accepted, you will be redirected to the Welcome Page. There, you will see certain prepopulated information from the ADA making it simple to complete.

The CAQH ProView menu prompts will guide you through each step. You control which organizations receive your profile information either by authorizing all of them or specific ones, including Anthem.

Maintaining your self‑reported information

Current CAQH ProView users can access their profile at ADA.org/godigital. To ensure your profile is completed:

• Add new documents to replace expired ones.
• Remove work history gaps for the past five years, or list the reasons for any gaps, such as leaves of absence, maternity leaves, and illness.
• Ensure a current copy of your liability insurance is attached to your profile.
• If you only authorize specific organizations access to your profile, please add Anthem.

Upon completion, a confirmation email will be sent to the primary email address on your profile. You should attest to your profile every 120 days to ensure other insurers you are contracted with can access your profile to start the credentialing process.

For assistance with completing your profile call the ADA Member Service Center at 800‑621‑8099 or the CAQH Help Desk at 888‑599-1771.

FAQ:

• Do I need to be an ADA member to participate?
• No, any U.S. practicing dentist can participate.
• Does it cost anything to use CAQH ProView?
• There is no cost for dentists to use CAQH ProView.
• What does it mean to attest to my data in CAQH ProView?
• After you enter your professional and practice data, you must attest to its accuracy.
• I recently received an email from CAQH ProView, asking me to re‑attest to my profile. What does that mean?
• The system will notify you every 120 days to re‑attest that all information is still correct and complete or update it if not. This enables a dentist’s contracted dental plans to access CAQH ProView profile information based on their different re‑credentialing cycles. A dental plan or other participating organization with authorized access will only be able to access your data once you have completed the re‑attestation process.
• Does this mean I need to completely revise my profile every 120 days?
• No, you need to review and update any information that has changed, and re‑attest to its accuracy.
• Whom can I contact for help or if I have any questions?
•  Within CAQH ProView, click the chat icon at the top of any page to ask a question. You can also contact:
• The ADA Member Service Center at 800‑621-8099 Monday through Friday 8:30 a.m. to 5 p.m. CT, or msc@ada.org.
• CAQH Help Desk at 888‑599-1771, Monday through Friday 8 a.m. to 8 p.m. ET.

Dental credentialing application checklist

These items are necessary to complete your credentialing application:

• A copy of your state license(s)
• A copy of your professional liability insurance face sheet
• Practice information
• Individual National Provider Identifier (NPI) number

You may also need the following, depending on the state in which you practice:

• Hospital affiliation information
• A copy of your anesthesia license
• A copy of your Drug Enforcement Administration (DEA) license
• A copy of your Controlled Dangerous Substances (CDS) license
• Medicare number
• Medicaid number
• Basic Life Support (BLS) certification information
• Advanced Cardiovascular Life Support (ACLS) certification information