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 06/09/16

Health plan trading partners are increasingly seeking CORE Certification as a way to help their clients improve administrative processes and meet Affordable Care Act (ACA) requirements...

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.

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.

EnrollHub, a CAQH Solution

 Streamline EFT and ERA enrollments.

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.

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.