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     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

IFR Issued on CMS Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions

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

Search by date: CAQH CORE Activities Related to Upcoming Mandate (includes testimony at NCVHS Hearings)


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

CORE Phase II
Scope and Rules


  

STATE ACTIVITIES

CORE State Activity


  

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

21st Annual WEDI National Conference

4/30/12 - 5/3/2012

View the complete list of 2012 CORE presentations.


CORE Overview Presentation


CORE Provider Presentation

Trading Partner Participation

CAQH is calling on all CORE participants and those organizations interested in becoming CORE-certified to help promote CORE rules to their most critical trading partners. By reaching out to your partners you will assist us in building CORE rules adoption from the ground up, setting in motion a process that, through overlapping trading partner relationships, will eventually generate exponential use of the rules. Enhanced interoperability, significantly improved administrative data exchange and reduced administrative burdens will be the payoff for your assistance.

Below are links to documents you may find helpful in reaching out to your trading partners. Click on the document link to access/download the document.

Please take some time to familiarize yourself with this CORE trading partner outreach program information and contact us at (202) 861-1492 if you have any questions. We greatly appreciate your ongoing support of the CORE initiative. Thank you in advance for your efforts to promote CORE to your strategic trading partners.

Trading Partner Engagement Kit for use by Health Plans

Trading Partner Recruitment Tool Kit Overview

Click here to download a Trading Partner Outreach Letter

Click here to download a Getting Health Plans Involved

Click here to download a Getting Providers Involved

Click here to download a Getting Vendors and Clearinghouses Involved

Click here to download a Recruiting CORE Endorsers

Click here to download a CORE Participants List

Click here to download a CORE Certification: A Step-By-Step Process

Click here to download a CORE Pledge

Click here to download a CORE Seal Application

Click here to download a CORE Groundswell Ad

CORE’s potential impact increases with each entity that becomes CORE-certified. Please contact your trading partners about CORE-certification and encourage them to join in rule development as a CORE participant.