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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

CORE Rules: HIPAA 5010 Updates

The CORE Phase I and Phase II policies and rules have been updated to reflect HIPAA 5010 requirements and associated errata. Please see below for each of the adjusted CORE rules. In addition to the updated rules, a summary of substantive changes made is available here: CORE Phase I and Phase II Rules 5010 Adjustment Summary

Phase I

Complete Set of CORE Phase I Policies and Rules

View a single document with the complete set of CORE Phase I Policies and Rules.

CORE Phase I Policies (100-105)

CORE Phase I Glossary for terms related to CORE Phase I rules.

100: Guiding Principles

101: Pledge

102: Certification Policy

103: Exemption Policy

104: Testing Policy

105: Enforcement Policy

CORE Phase I Operating Rules (150-157)

Phase II

Complete Set of CORE Phase II Policies and Rules

View a single document with the complete set of CORE Phase II Policies and Rules.

CORE Phase II Policies (200-205)

CORE Phase II Glossary for terms related to CORE Phase II rules.

200: Guiding Principles

201: Pledge

202: Certification Policy

203: Exemption Policy

204: Testing Policy

205: Enforcement Policy

CORE Phase II Operating Rules (250, 258-260, 270)


For more information about the CORE Rules, CORE certification or applying for a CORE seal, please contact CAQH at (202) 861-1492.