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 11/04/15

The CAQH Committee on Operating Rules for Information Exchange (CORE®) today announced that it has awarded more than 200 CORE Certifications to health plans, hospitals and health systems, clearinghouses and vendors. 

CAQH Solutions

CAQH is poised to help health plans and providers meet the new provider directory data confirmation requirements.

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

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.