Get Involved

Accurate provider data is critical to improving quality, costs and healthcare delivery. Healthcare provider data forms the foundation of many important processes in the nation’s healthcare system. This information is necessary to conduct a number of essential functions, such as referring a patient to a specialist, paying insurance claims, determining provider sanctions and credentialing providers.

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.

2016 CAQH Index Report 01/12/17

Reducing Manual Business Transactions Could Save Healthcare $9.4 Billion

The fourth annual CAQH Index measures adoption, costs and, for the first time, provider labor time associated with the most common administrative transactions conducted between health plans and providers. These include verifying a patient’s insurance coverage, sending and receiving payment, inquiring about the status of a claim and obtaining prior authorization for care.

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. 

CORE Certification

Learn about the goals and benefits of the CORE Certification program.

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.