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CORE Overview Presentation


CORE Provider Presentation

CORE-Certified Organizations/Products


View pending and current CORE certifications below. Only entities that use, create, or transmit eligibility or claim status data are eligible for CORE certification.

View endorser organizations by visiting the CORE Endorsers page. Organizations that do not use, create, or transmit eligibility and/or claim status data can demonstrate their support for CORE’s mission and its rules by signing the CORE Pledge, and applying for and using the CORE Endorser Seal.

Health Plans

Organization   Certified Phase(s)
(Committed Phase(s))
Aetna, Inc. Phase I
Phase II
Anthem Colorado* Phase I
Phase II
Anthem Connecticut* Phase I
Phase II
Anthem Indiana* Phase I
Phase II
Anthem Kentucky* Phase I
Phase II
Anthem Maine* Phase I
Phase II
Anthem Nevada* Phase I
Phase II
Anthem New Hampshire* Phase I
Phase II
Anthem Ohio* Phase I
Phase II
Anthem Virginia* Phase I
Phase II
AultCare Phase I
(Phase II: Q1 2010)
Avmed Health Plan (Phase I: Q1 2010)
Blue Cross of California* Phase I
Phase II
Blue Cross Blue Shield of Georgia* Phase I
Phase II
Blue Cross Blue Shield of Missouri* Phase I
Phase II
Blue Cross Blue Shield of North Carolina Phase I
(Phase II Committed)
BlueCross BlueShield of Tennessee Phase I
(Phase II: Q1 2010)
Blue Cross Blue Shield of Wisconsin* Phase I
Phase II
CIGNA (Phase I: Q1 2010)
Empire Blue Cross Blue Shield* Phase I
Phase II
Harvard Pilgrim Health Care Phase I
Phase II
HealthNet Phase I
(Phase II: Q1 2010)
Humana** Phase I
(Phase II: Committed)
WellPoint Phase I
Phase II

Providers

Organization   Certified Phase(s)
(Committed Phase(s))
Mayo Clinic Phase I
(Phase II: Q1 2010)
Montefiore Medical Center Phase I
(Phase II: Q1 2010)
Spectrum Laboratory Network Phase I
Summit Medical Group Phase I
U.S. Department of Veterans Affairs Phase I
Wake Forest University Health Sciences Phase I

Clearinghouses

Organization
Product
  Certified Phase(s)
(Committed Phase(s))
ACS EDI Gateway, Inc.
EDI Direct - Eligibility Engine
Phase I
(Phase II: Q1 2010)
Availity, LLC
Availity Health Information Network
Phase I
(Phase II: Q1 2010)
Capario (Formerly MedAvant Healthcare Solutions)
Phoenix Processing System
Phase I
(Phase II: Q1 2010)
Emdeon
Emdeon Real-Time Exchange
Phase I
(Phase II: Q1 2010)
Emdeon
Emdeon Batch Verification
Phase I
(Phase II: Q1 2010)
eServices Group, Inc.
Unite
Phase I
Phase II
Gateway EDI (Phase I: Q2 2010)
HealthFusion
Healthfusion RT
Phase I
HMS
HMS
Phase I
Ingenix (Phase I & II: Q1 2010)
InstaMed
InstaMed Platform and Network
Phase I
Phase II
MD On-Line, Inc.
ACCE$$ Patient Eligibility Verification
Phase I
MedData
MedConnect
Phase I
(Phase II: Q1 2010)
NaviNet
NaviNet
Phase I
Phase II
Netwerkes, LLC
Netwerkes.com Real Time Eligibility
Phase I
Passport Health Communications
OneSource
Phase I
(Phase II: Q1 2010)
Post-N-Track
Doohickey™ Web Services
Phase I
Phase II
RealMed Corporation
RealMed Revenue Cycle Management
Phase I
RelayHealth
Real Time Eligibility
Phase I
(Phase II: Q1 2010)
SecureEDI/Immediata
SecureEDI Clearinghouse
Phase I
Siemens/HDX
Healthcare Data Exchange
Phase I
Phase II
Surescripts
Surescripts Prescription Benefit
Phase I
(Phase II: Q1 2010)
The SSI Group, Inc
ClickON® E-Verify
Phase I
(Phase II: Q1 2010)

Vendors

Organization
Product
  Certified Phase(s)
(Committed Phase(s))
athenahealth
athenaCollector
Phase I
Phase II
CSC
CSC DirectConnect®
Phase I
(Phase II: Q1 2010)
EmergingHealth
TREKS
Phase I
(Phase II: Q1 2010)
eServices Group, Inc.
XJ Series Gateway Services
Phase I
Phase II
GE Healthcare
EDI Eligibility 270/271
Phase I
(Phase II: Q1 2010)
Medical Informatics Engineering
WebChart EMR
Phase I
(Phase II: Q1 2010)
Medical Present Value (MPV)
MPV Eligibility
Phase I
NoMoreClipboard.com
NoMoreClipboard.com
Phase I
(Phase II: Q1 2010)
Recondo Technology
SurePayHealth
Phase I
RelayHealth
RevRunner
Phase I
The SSI Group Inc
ClickON® Net Eligibility
Phase I
(Phase II: Q1 2010)
VisionShare
Secure Exchange Software Interactive
Phase I
(Phase II: Q1 2010)

*Indicates a WellPoint company

** The following Humana Inc. subsidiaries will be migrated to CORE certification – Cariten (within 12 months); CarePlus Health Plans, Inc. (longer than 12 months), KMG American Corporation (longer than 12 months), Humana Benefit Plan of Illinois, Inc. (between 1/1/09 – 6/30/10). Humana Military Healthcare Services, Humana Puerto Rico, Humana Dental and CompBenefits Corporation operate out of scope of the CORE rules and are not required to use them.