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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.


CORE Overview Presentation


CORE Provider Presentation

January 2013 Operating Rules Deadline

Is Your Organization Ready to Test Operating Rules with Trading Partners?

Why: The administrative simplification provisions in Section 1104 of the Patient Protection and Affordable Care Act (ACA) require all HIPAA-covered entities to adopt the Phase I & Phase II CAQH CORE Eligibility and Claim Status Operating Rules by January 1, 2013. Given the deadline, entities should be testing their operating rules implementation to identify any challenges.

Who: Organizations that are ready to test operating rules implementation with trading partners are highlighted below.

  • Your organization may submit its name and contact information for inclusion on this list.
  • Your organization may use the list to identify and connect with trading partners that are also ready to test.

How: Use the button below to submit the name of your organization and a contact to appear on this list. CAQH will update the list within one business day from the time the request is received.

Organizations are encouraged to reference this list frequently to identify additional trading partners that are ready for testing.

Health Plans

Organization Name Primary Contact Name
AultCare Robert Schleichert
BlueCross BlueShield of Tennessee eBusiness Solutions
Bluegrass Family Health Robert Mastin
CalOptima Mary Eden
Harvard Pilgrim Health Care Rhonda Starkey
HealthPlus of Michigan Matt Devitt
Mutual of Omaha Kent Dewell
SelectHealth Malene Davis

Clearinghouses

Organization Name Primary Contact Name
athenahealth, Inc. Amy Yeh
Checkmedicare.com Ken Katz
ClaimRemedi Karin Bowhall
Dorado Systems Edward Kennedy
Emdeon Mike Denison
HMS Joseph Cunningham
InstaMed Brendan Crotty
Netwerkes Nick Reidy
Office Ally Richard Long
OptumInsight Rhonda Sapereira
Post-n-Track Randy Ulloa
Practice Insight Martha Johnson
RelayHealth Brian Eidex
The SSI Group Mary Hyland
X2 Medical Billing Beverly Ellis
ZirMed Inc. Crystal Ewing

Providers

Organization Name Primary Contact Name
AGAPE COUNSELING & THERAPEUTIC SERV, INC TEISHA SPARROW
Anba Abraam Medical Clinic Les Hatfield
Behavioral Network, Inc Susan Shea
Blue Ridge Medical Transport Debbie Poe
Boston Brace International Inc NOPCO Melisa Vitagliano
Caring Compassion Home Health Care Heather Newman
Danville City Health Department Lindy Stewart
Dr. Anna B. Miller Eye Care Center Sarah Benard
Elite Medical Michelle Stevens
Family Healthcare Affiliates Krystal Urban
Gifford Medical Center Leslie Papa
Indiana University Health Hira Majid
Montefiore Medical Center Noam Nahary
Morse Chiropractic, LLC Kimberly
Ormond Beach Dermatology Sandra Adams
Primary Care Health Partners Jon Asselin
Serra Community Medical Clinic, Inc. Ziad Kalioundji
Springfield Nephrology Associates, Inc. Ashley Dees
Valley Day and Night Clinic Monica Garza
VMH Community & Home Care Holly Palmer
Wesley Manor Retirement Community Jerry Hoganson


*The CORE-certification Seal signifies that an entity is using the CORE operating rules in daily business. CAQH awards CORE Certification Seals to entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules. Voluntary CORE Certification is available for providers, health plans, clearinghouses, and vendors that successfully complete the CORE testing and certification process. See the website for Edifecs, a CORE-authorized testing vendor, for CORE-required testing that must be conducted in order to apply to CORE for a CORE Certification Seal.

THIS PORTION OF THE CORE WEBSITE IS MADE AVAILABLE FOR ORGANIZATIONS TO SELF-REPORT THEIR READINESS FOR TRADING PARTNER TESTING. CAQH DOES NOT CONTROL THE CONTENT POSTED TO THIS PAGE. THIS PAGE IS GOVERNED BY THE CAQH TERMS OF SERVICE AND BY SUPPLEMENTAL TERMS FOR SELF-REPORTED INFORMATION.