Health Reform
November 18, 2011
NCVHS Enrollment Testimony by CAQH
NCVHS Maintenance and Updating of Stds and ORs Testimony by CAQH
November 17, 2011
NCVHS Claims Attachment Testimony by CAQH
September 6, 2011
CAQH CORE Comment Letter to CMS RE: CMS-0032-IFC
August 22, 2011
CAQH CORE Model Comment Letter RE: CMS-0032-IFC
August 1, 2011
CAQH CORE Request for CORE Participant Input on the July 8th IFR for Eligibility and Claim Status
(Supplement - Overview of CAQH CORE Phases I & II)
CAQH CORE and NACHA letter to NCVHS RE: Update on Draft CAQH CORE EFT and ERA Operating Rules
July 8, 2011
April 27-28, 2011
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing
CORE Testimony on The Acknowledgment Transaction Standard
CORE written testimony
CORE presentation
CORE Testimony on Maintenance and Modifications to Standards and Operating Rules
CORE written testimony
CORE presentation
March 23, 2011
NCVHS Letter Issued to HHS Recommending CAQH CORE to Develop National EFT and ERA Operating Rules
December 3, 2010
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing
Part I:
CORE Eligibility and Claims Status Update Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 50:00)
CORE presentation
Part II:
CORE ERA/EFT Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 4:25:30)
General
More information on the Upcoming Operating Rules Mandate
CORE Phase II
Committed Organizations:
Are You Ready to Submit
Your Phase II Pledge?
THE PHASE II RULES
STATE ACTIVITIES
UPCOMING CORE PRESENTATIONS:
NCPDP Standards in Pharmacy Rules and Regulations: From Inception to Implementation
2/7/12
HIMSS12 Annual Conference & Exhibition
CAQH Booth #9013
2/20/12 - 2/24/12
20th National HIPAA Summit
3/26/12 - 3/28/12
NACHA Payments 2012
4/29/12 - 5/2/12
CORE Overview Presentation
CORE Provider Presentation
CORE Phase I Rules
Use of the CORE Phase I rules/policies is voluntary and open to all organizations with an interest in administrative data exchange.
Organizations must sign a binding pledge to adopt, implement and comply with CORE Phase I rules. A CORE-authorized testing vendor must certify that their systems are CORE compliant within 180 days of signing the pledge.
CORE certification is tailored for providers, health plans, vendors and clearinghouses. Organizations that do not create, send or transmit data can sign the pledge and receive a CORE Endorser seal.
Below are the documents required to complete the CORE Phase I rules certification process. Click the link to view, print, or download the document(s). Click CORE Phase I Glossary for terms related to CORE Phase I rules.
The Complete Set of CORE Phase I Rules and Policies
CORE Policies (100-105)
CORE Operating Rules (150-157)
HIPAA 5010 Requirements: CORE Rule Updates
The CORE Phase I rules have been updated to address HIPAA 5010 requirements. The v5010 updates to the CORE rules are available here.
HIPAA 4010 Requirements:
150: Batch Acknowledgements
151: Real Time Acknowledgements
154: 270/271 Data Content Rule
For more information about the CORE Phase I Rules, CORE Phase I certification or applying for a CORE seal, please contact CAQH at (202) 861-1492.