The Implementation Deadline for Federally-mandated CAQH CORE EFT and ERA Operating Rules was January 1, 2014.
Learn more about CAQH CORE resources available to help your organization meet the Patient Protection and Affordable Care Act's operating rule mandate.
Committee on Operating Rules
for Information Exchange®
CAQH CORE® is a multi-stakeholder initiative developing operating rules that:
- Streamline electronic healthcare administrative data exchange.
- Support interoperability between payers and providers.
CAQH CORE certifies and awards CORE Certification Seals to entities that create, transmit or use the healthcare administrative and financial transactions addressed by the CAQH CORE Operating Rules. Learn more.
Learn how stakeholders are working together to:
- Implement federally mandated CAQH CORE operating rules for eligibility, benefits, electronic remittance, and other claim-related transactions.
- Reduce the amount of time and resources providers spend on administrative functions.
Universal Provider Datasource®
The next generation Universal Provider Datasource®
is launching on March 2, 2015.
More than 1.3 million healthcare providers have been using the Universal Provider Datasource (UPD), the trusted source and industry standard for self-reported provider data needed for credentialing, claims processing, quality assurance, emergency response, member services and more. CAQH ProView will be even faster and more intuitive to use, offering new features and functionality.
Physicians and other health professionals will continue to submit their information free of charge.
CAQH has established a CAQH ProView Provider Transition Support Center to help providers and practice managers with the transition. If you have any questions regarding the transition to CAQH ProView, please email email@example.com or call 844-259-5347.