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.

Press Release 10/27/16

Modern Healthcare Recognizes CAQH as a Best Place to Work in Healthcare

The Modern Healthcare award program identifies 100 outstanding healthcare employers nationwide based on feedback provided by an employee engagement and satisfaction survey and a review of organizational policies, practices and demographics. 

Press Release 09/28/16

Full industry collaboration is required to develop an effective approach to collecting, maintaining and disseminating accurate, high-quality data from healthcare providers, according to a new white paper from the non-profit alliance CAQH.

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.

Phase IV Operating Rules Adoption

CAQH CORE, on behalf of the CAQH CORE Board, submitted a letter to the Secretary of HHS in response to the NCVHS recommendation on adoption of the Phase IV Operating Rules.

EnrollHub, a CAQH Solution

 Streamline EFT and ERA enrollments.

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

2016 CAQH Index Data Collection

The CAQH Index is an ongoing measure of progress to electronic business transactions. The 2016 CAQH Index Data Collection Template for Payers is now availalble for health plans to submit data for numbers of transactions and costs per transaction, manual vs. electronic, for calendar year 2015.