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CORE Phase II
Committed Organizations:

 

Are You Ready to Submit
Your Phase II Pledge?

 


  

 

THE PHASE II RULES

 

CORE Phase II
Scope and Rules

 


  

STATE ACTIVITIES

 

CORE State Information

 


  

UPCOMING CORE PRESENTATIONS:

 

2010 Annual HIMSS Conference & Exhibition
3/1/10 - 3/4/10

 

View the complete list of 2009 CORE presentations.


CORE Overview Presentation


CORE Provider Presentation

CORE Fees

Fees are a one-time cost for each Phase of certification*


Health Plans
Below $75 million in net annual revenue:$4,000
$75 million and above in net annual revenue:$6,000

Clearinghouses
Below $75 million in net annual revenue:$4,000
     EHNAC HNAP-EHN accredited - apply 10% ($400) discount
 
$75 million and above in net annual revenue:$6,000
     EHNAC HNAP-EHN accredited - apply 10% ($600) discount
Vendors
Below $75 million in net annual revenue:$4,000
$75 million and above in net annual revenue:$6,000
Providers
Up to $1 billion in net annual revenue:$500
$1 billion and above in net annual revenue:$1,500

Endorsers
(Only entities that do not create, transmit or use
eligibility and/or claim status data)
No Fee


NOTES:

  • There is no charge to Federal or State government entities to receive the CORE Seal.
  • There is no charge to CAQH member plans to receive the CORE Seal.
  • *This fee is a one-time cost for each Phase of certification, unless an entity becomes decertified or if major changes to the rules are approved by a full CORE vote (Reference CORE: Eligibility and Benefits Certification Policy).
  • Per the CORE Certification Policy, vendor products, and not entire vendor organizations, receive the Certification Seal.
  • The CORE Certification Seal fee does not include the fee for CORE certification testing, which is standard for each stakeholder type. The CAQH website - www.caqh.org – can be accessed for a list of CORE-authorized testing companies and their associated testing fees.
  • CORE participation and CORE certification are two separate activities. If you are interested in participating in CORE, review the CORE Participant Application. CORE participants can assist with writing the rules/policies in addition to voting on the next phase of rules.
  • Any Clearinghouse/EHN entity actively seeking CORE certification as of June 1, 2009 or later that has already achieved EHNAC HNAP-EHN accreditation can take advantage of the partnership program discount. The Clearinghouse/EHN will indicate that it holds a current EHNAC HNAP-EHN accreditation when submitting a CORE Seal application. (CAQH will confirm EHNAC-EHN accreditation status independently.)