Apply to CAQH

CAQH is a non-profit alliance of health plans and trade associations, developing and leading initiatives that positively impact the business of healthcare. Consider how joining CAQH may be the right career choice for you.

Phase IV Operating Rules Adoption

CAQH CORE, on behalf of the CAQH CORE Board, submitted a letter to the Chair of NCVHS to urge NCVHS to recommend adoption of the Phase IV Operating Rules to the Secretary of HHS.

Press Release 02/17/16

DirectAssure will enable the more than 1.3 million providers participating in CAQH ProView to easily review and update their self-reported professional data for use in health plan directories.

CAQH CORE Operating Rules

ACA Section 1104 requires HIPAA covered entities to be in compliance with the remaining ACA-mandated operating rules. 

  • Health claims or equivalent encounter information
  • Health plan enrollment/disenrollment
  • Health plan premium payments
  • Referral certification and authorization
  • Health claims attachments

EnrollHub, a CAQH Solution

 Streamline EFT and ERA enrollments.

On-Demand Webinar

In this webinar, Kaiser Permanente and Blue Cross Blue Shield of North Carolina (BCBSNC) share their perspectives on how they have overcome COB challenges and are now "getting it right the first time." 

*Registration required.