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CORE Overview Presentation


CORE Provider Presentation

CORE Participating Organizations

(Current Participants as of February 2010)

CORE is more than 115 industry stakeholders, including health plans that cover more than 130 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 Michigan
Blue Cross and Blue Shield of North Carolina
BlueCross BlueShield of Tennessee
CareFirst BlueCross BlueShield
CIGNA
Coventry Health Care
Excellus BlueCross BlueShield
Group Health, Inc.
Harvard Pilgrim HealthCare
Health Care Service Corporation
Health Net, Inc.
Health Plan of Michigan
Highmark, Inc.
Horizon Blue Cross Blue Shield of New Jersey
Humana Inc.
Independence Blue Cross
Medical Mutual of Ohio
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 Association of New York State
Healthcare Billing and Management Association
Healthcare Information and Management Systems Society (HIMSS)
Healthcare Financial Management Association (HFMA)
LINXUS (initiative of GNYHA)
National Committee for Quality Assurance (NCQA)
National Council for Prescription Drug Programs (NCPDP)
NJ Shore (WEDI SNIP NY Affiliate)
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
Louisiana Medicaid – Unisys
Michigan Department of Community Health
Michigan Public Health Institute
Minnesota Department of Human Services
Oregon Department of Human Resources
TRICARE
United States Centers for Medicare and Medicaid Services (CMS)
United States Department of Veterans Affairs
Washington State Office of the Insurance Commissioner

Other
Accenture
Cognizant Technology Solutions
Foresight Corporation
Merck & Co., Inc.
Omega Technology Solutions
Payformance Corporation
PNC Bank
PricewaterhouseCoopers LLP

Providers
Adventist HealthCare, Inc.
American Academy of Family Physicians (AAFP)
American College of Physicians (ACP)
American Medical Association (AMA)
Catholic Healthcare West
Cedars-Sinai Health System
Greater New York Hospital Association
HealthCare Partners Medical Group
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
Physician HealthCare Network, PC
Spectrum Laboratory Network
University Physicians, Inc. (University of Maryland)
UNMC Physicians
Valley Health
Wisconsin Medical Society

Vendors/Clearinghouses
ACS EDI Gateway, Inc.
Antares Management Solutions (a subsidiary of Medical Mutual of Ohio)
athenahealth, Inc.
Availity, LLC
Capario (Formerly MedAvant Healthcare Solutions)
CareMedic Systems, Inc.
Edifecs
Electronic Data Systems (EDS)
Electronic Network Systems, Inc. (ENS) (an Ingenix Division)
Emdeon Business Services
Enclarity, Inc.
Gateway EDI
GE Healthcare
HMS
Healthcare Administration Technologies, Inc.
iHCFA, LLC
Ingenix
InstaMed
MedData
mPay Gateway
National Account Service Company (NASCO)
NaviNet
NextGen Healthcare Information Systems, Inc.
Passport Health Communications
Payerpath, a Misys Company
QS/1 Data Systems
RealMed Corporation
Recondo Technology, Inc.
RelayHealth 
Secure EDI Health Group, LLC
Siemens / HDX
Surescripts
The SSI Group, Inc.
The TriZetto Group, Inc.
VisionShare, Inc.