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 Participating Organizations
(Current Participants as of November 2011)
CORE is more than 130 industry stakeholders, including health plans that cover more than 150 million commercially insured lives plus Medicare and Medicaid beneficiaries. They are working in collaboration to simplify administrative data exchange. Join them. Become a CORE participant today!
Click Here to download a CORE Participant Application Form.
Health Plans
Aetna, Inc.
AultCare
Blue Cross Blue Shield of Florida
Blue Cross Blue Shield of Michigan
Blue Cross and Blue Shield of North Carolina
BlueCross BlueShield of Tennessee
CareFirst BlueCross BlueShield
CIGNA
Coventry Health Care
EmblemHealth
Excellus Blue Cross Blue Shield
Harvard Pilgrim HealthCare
Health Care Service Corporation
Health Net, Inc.
Highmark, Inc.
Horizon Blue Cross Blue Shield of New Jersey
Humana Inc.
Kaiser Permanente
Medical Mutual of Ohio
Tufts Health Plan
UnitedHealth Group
WellPoint, Inc.
Associations / Regional Entities / Standard-Setting Organizations
America’s Health Insurance Plans (AHIP)
ASC X12
Blue Cross and Blue Shield Association (BCBSA)
Delta Dental Plans Association
Health Level 7 (HL7)
Healthcare Billing and Management Association
Healthcare Financial Management Association (HFMA)
Healthcare Information and Management Systems Society (HIMSS)
National Committee for Quality Assurance (NCQA)
National Council for Prescription Drug Programs (NCPDP)
NJ Shore (WEDI SNIP NY Affiliate)
OneHealthPort
Private Sector Technology Group
Utah Health Information Network (UHIN)
Utilization Review Accreditation Commission (URAC)
Work Group for Electronic Data Interchange (WEDI)
Government Agencies
Arizona Health Care Cost Containment System
Federal Reserve Bank of Atlanta
Louisiana Medicaid – Molina
Michigan Department of Community Health
Michigan Public Health Institute
Minnesota Department of Health
Minnesota Department of Human Services
National Medicaid EDI Healthcare Work Group (NMEH)
Oregon Department of Human Resources
TRICARE
United States Centers for Medicare and Medicaid Services (CMS)
United States Department of Treasury Financial Management
United States Department of Veterans Affairs
Washington State Office of the Insurance Commissioner
Other
Accenture
Cognizant
Cognosante
Deloitte Consulting, LLP
HIPAA Ready LLC
Hubbert Systems Consulting (HSC)
Merck & Co., Inc.
Methodical
OptumHealth Financial Services
Payformance
PricewaterhouseCoopers LLP
TIBCO Software, Inc.
VeriSign, a Symantec Business
Providers
Adventist HealthCare, Inc.
American Academy of Family Physicians (AAFP)
American College of Physicians (ACP)
American Hospital Association (AHA)
American Medical Association (AMA)
Catholic Healthcare West
Cedars-Sinai Health System
E & W Health Resources, LLC
Greater New York Hospital Association (GNYHA)
HealthCare Partners Medical Group
Hospital Corporation of America (HCA)
Johns Hopkins Medicine
Mayo Clinic
Medical Group Management Association (MGMA)
Mobility Medical, Inc.
Montefiore Medical Center in New York
New York-Presbyterian Hospital
North Shore LIJ Health System
NYU Langone Medical Center
Physician HealthCare Network, PC
Solstas Lab Partners Group, LLC
Texas Medical Association
University Physicians, Inc. (University of Maryland)
UNMC Physicians
Valley Health
Wisconsin Medical Society
Vendors/Clearinghouses
ABILITY Network, Inc.
ACS, a Xerox Company
Allscripts
athenahealth, Inc.
Availity, LLC
Bank of America Merrill Lynch
Capario
DST Health Solutions
Edifecs
Emdeon
Enclarity, Inc.
Fifth Third Bank
FISGlobal
Gateway EDI
GE Healthcare
HBCS
HERAE, LLC
HMS
HP Enterprise Services, LLC
Ingenix, Inc.
InstaMed
National Account Service Company (NASCO)
NaviNet
NextGen Healthcare Information Systems, Inc.
Passport Health Communications
PNC Bank
RealMed, an Availity Company
Recondo Technology, Inc.
RelayHealth
Secure EDI Health Group, LLC
Siemens / HDX
Surescripts
The Clearing House
The SSI Group, Inc.
The TriZetto Group, Inc.
TransUnion Healthcare, LLC
U.S. Bank
VISA, Inc.