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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 Participating Organizations

(Current Participants as of October 2013)

CORE is more than 140 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 Louisiana
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
Government Employees Health Association, Inc. (GEHA)
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
Meridian Health Plan
Palmetto GBA
Premera Blue Cross Blue Shield 
Tufts Health Plan 
UnitedHealth Group
WellPoint, Inc.

Associations / Regional Entities / Standard Developing 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 
Healthcare Information and Management Systems Society (HIMSS)
NACHA – The Electronic Payments Association
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
California Department of Health Care Services
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
Missouri HealthNet Division
National Medicaid EDI Healthcare Work Group (NMEH)
North Dakota Medicaid
Oklahoma Employees Group Insurance Division
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
Cambria Solutions, Inc.
CSG Government Solutions
Cognizant
Cognosante
Deloitte Consulting, LLP
NASW Risk Retention Group, Inc.
OptumHealth Financial Service 
PricewaterhouseCoopers LLP
TIBCO Software, Inc.

Providers
Adventist HealthCare, Inc.
Adventist Health System
American Academy of Family Physicians (AAFP)
American Hospital Association (AHA)
American Medical Association (AMA)
Cedars-Sinai Health System
CHRISTUS Health
Community Health Systems (CHS)
Confluence Health
Dignity Health
Greater New York Hospital Association (GNYHA)
HealthCare Partners Medical Group
Johns Hopkins Medicine
Laboratory Corporation of America 
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
Ortho NorthEast (ONE)
Sound Family Medicine
Tampa General Hospital
University of Maryland Faculty Physicians, Inc.
UNMC Physicians
Valley Health
Virginia Mason Medical Center

Vendors/Clearinghouses
Alegeus
Allscripts  
athenahealth, Inc.
Availity, LLC
Bank of America Merrill Lynch
Capario
DST Health Solutions
Edifecs
Emdeon
Epic
Fifth Third Bank
Gateway EDI
GE Healthcare
HEALTHeNET
HMS 
HP Enterprise Services, LLC
InstaMed
JPMorgan Chase 
LST Financial, Inc.
MasterCard Worldwide
Medical Electronic Attachment, Inc.
MEDTranDirect
NaviNet
NextGen Healthcare Information Systems, Inc.
OptumInsight
Passport Health Communications
PaySpan
PNC Bank
RealMed, an Availity Company
Recondo Technology, Inc.
RelayHealth 
Secure EDI Health Group, LLC
Siemens / HDX
The Clearing House
The SSI Group, Inc.
The TriZetto Group, Inc.
TransUnion Healthcare, LLC
Ventanex
VISA, Inc.
Xerox Corporation
ZirMed