Step 1: Register and Sign In
If you haven't already, register your profile with CAQH by following the instructions in this article: How to Register for CAQH.
Once registered, sign in to your CAQH account.
Step 2: Access Profile Data
Upon signing in, your dashboard will display various options. Click on "Profile Data" to proceed.
Step 3: Complete Personal Profile
Ensure that your information is accurate and up-to-date
Under Contact Information, please add [email protected].
It’s important to add [email protected] under "Contact Information" so that we receive communication from insurance companies regarding your application
Step 4: Navigate to Practice Location
Keep track of your progress using the navigation menu located on the left side of your screen. A green checkmark will appear next to each section as you successfully complete the required entries. This visual cue ensures that you've filled out each section accurately.
Once you have completed all the information on the "Profile Information" tab, navigate to "Practice Locations."
Click on the blue "Add Practice Location" icon.
Please add Wellnite Practice as one of the Practice Location.
Practice Location Name if you’re in CA: Wellnite Medical
Practice Location Name if you’re in KS: Wellnite Medical Group of Kansas, P.A
Practice Location Name if you’re in NJ: Wellnite Medical Group of New Jersey PC
Practice Location Name for all other states: Wellnite Medical Group PA
Please check the box that said “This is a virtual-only location”
For State, please enter your state location.
For Digital Directory Information, please write the following:
Practice Location email address: [email protected]
Practice Location Website: www.wellnite.com
Appointment Scheduling Website: www.wellnite.com
For Phone number, please enter 877-644-6008
For Fx Number, please enter 415-727-0395
For Business Identifiers, please enter the following:
Legal Business Name
Legal Name if you’re in CA: Amy Halanski MD PC
Practice Location Name if you’re in KS: Wellnite Medical Group of Kansas, P.A
Practice Location Name if you’re in NJ: Wellnite Medical Group of New Jersey PC
Practice Location Name for all other states: Wellnite Medical Group PA
Tax-ID
Please search the email sent by [email protected] for Tax ID or request our Tax ID by emailing us at [email protected].
Organization (Type 2) NPI
Please search the email sent by [email protected] for Organization Type 2 NPI or request our NPI by emailing us at [email protected].
Click "Save and Continue" at the bottom of the page after entering all the information
Your page should look like this afterwards.
Step 5: Affiliation and Specialty
Answer questions in the Affiliation Drop section as specified.
Select "I see patients by appointment at least one day per week on a regular basis"
Set your Provider start date, indicating when you onboarded with Wellnite.
Choose your specialty based on your license.
Click "Save and Continue."
Step 6: Insurance Participation
Choose the appropriate insurance plans.
For Health Plan Participation, please answer “Yes” to all the insurance plans associated with Wellnite.
NOTE: Don’t choose Medicare and Medicaid. After choosing the option as mentioned above kindly click save and continue.
Your page should look like this afterwards.
Next, fill in the information by referring to the details provided in the screenshot below.
Step 7: Other Personnel Information
Click "Add" and complete the requested information.
Step 8: Mailing Address
Click "Continue," then navigate to the "Mailing Address" section and ill in the information by referring to the details provided in the screenshot below.
After successfully enter the information, the section on the navigation menu will have a green check.
Step 9: Credentialing Contacts
Navigate to "Credentialing Contacts" on the left-hand side of the screen.
Enter the provided information, selecting Wellnite as the location.
Step 10: Professional Liability
Afterwards, kindly click on the "Professional Liability" section. Wellnite will provide you with a liability certificate.
If you cannot find malpractice insurance certificate from us, please email us at [email protected].
Next, fill in the information by referring to the details provided in the screenshot below. Please refer to effective date and expiration date from your malpractice insurance certificate
NOTE: For the covered location, kindly choose Wellnite only. Our malpractice insurance does not cover you outside of Wellnite.
Note: On the self-insured choose ‘’No’’
Step 11: Employment History
Provide at least five years of work history without gaps.
If there's a gap of more than 6 months, provide the requested details.
Please make sure to add Wellnite under your Employment History by filling in the information below:
Practice/Employee Name
If you’re located in CA, please write Wellnite Medical
If you’re located in Kansas, please write
If you’re located in NJ, please write Wellnite Medical Group of New Jersey PC
If you’re located in any other state, please write Wellnite Medical Group, PA
To get the practice’s address, please reach out to [email protected].
Click "Save and Continue."
Step 12: Disclosure
Answer the disclosure questions truthfully.
Click "Save and Continue."
Step 13: Documents
Upload the malpractice certification provided by Wellnite.
Click "Save and Continue."
Step 14: Attestation
Please click on Authorize and choose authorize to every organization.
Review your profile for any errors.
Once confident, attest your profile.
Congratulations! You've successfully completed your profile data on the CAQH platform. This comprehensive guide ensures your information is accurate and complete, helping streamline the credentialing process.
If you encounter any issues or have questions, feel free to reach out to the Credentialing Team for assistance via phone (855) 731-1410 or email us at [email protected].