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CAQH/WEDI AUDIOCAST: Proposed CORE Phase II Rules -- The Next Step in Advancing Interoperability and Simplifying Patient Insurance Verification 

 

Wednesday, May 28, 2008
2:00 p.m. ET - 3:30 p.m. ET

 

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THE PHASE II RULES
ARE COMING!

 

CORE Phase II
Scope and Draft Rules

 

CORE Phase II
Voting Process and Timeline


 

For questions or to learn how to provide feedback on draft rules, contact CAQH.


CORE Overview Presentation


CORE Provider Presentation

CORE: Promoting Interoperability -
Online Eligibility and Benefits Inquiry

The benefits of an interoperable healthcare system are well understood. The availability of information in real-time at the point of care can reduce medical errors, allow physicians and their patients to make informed decisions about treatment options, and reduce administrative burdens. The challenges are equally well understood. Technology adoption rates, data security, and inconsistency associated with transactions and interactions between stakeholders are limiting the ability to realize a complete solution.

Through CORE, CAQH is working to make it easier for physicians and hospitals to access eligibility and benefits information for their patients at the point of care. CORE operating rules will allow providers to submit a request, using the electronic system of their choice, to obtain a variety of coverage information for any patient and from any participating health plan. Providers will receive more consistent and predictable data, regardless of health plan.