CAQH ProView verification

Demographics, work history, attestations, malpractice history.

Real-time on attestation Primary source — no aggregator Authority site

Issuing authority: CAQH (Council for Affordable Quality Healthcare)

What we verify

Provider demographics and contact info

Education and training history

Work history with gap explanations

Hospital affiliations

Malpractice claims history (self-reported)

Attestation date and signature

Verification rules

How we decide pass / flag / block

01
Attestation must be re-signed within the prior 120 days to be considered current.
02
Work-history gaps > 30 days must have an explanation field populated.
03
Self-reported data is cross-referenced against NPDB and state board data; conflicts surface as discrepancies.

Example evidence

Example CAQH attestation summary

Stored alongside the credential with source URL, raw payload hash, and timestamp. Names and IDs below are illustrative.

Verified payload (excerpt)

caqh_id

12345678

attestation_date

2026-04-02

attestation_status

Current

work_history_entries

4 (no unexplained gaps)

malpractice_claims

0 reported

authorized_organizations

UPP, 3 payers

Refresh cadence

Real-time on attestation

CAQH pushes real-time updates when a provider re-attests. UPP also polls every 24h as a safety net.

Source-down handling

When the authority is unreachable

If a provider has not authorized UPP in their CAQH ProView roster, the credential is marked unverifiable via CAQH and the provider is prompted to grant access.

Previous source

NPPES

National Plan & Provider Enumeration System

Next source

PECOS

Provider Enrollment, Chain & Ownership System