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Introduction to CORE Certification

Becoming CORE-certified enables an organization to demonstrate that its systems and products conform with applicable operating rules and are prepared for potential audits. CORE awards Certification Seals to entities that create, transmit or use the healthcare administrative, clinical and financial transactions.

The CORE Certification Progress Report

The CORE Certification Progress Report is an annual study published by CAQH CORE that tracks the reach and impact of CORE Certification on the U.S. healthcare system, covering aspects such as the number of lives under CORE-certified health plans and providers using CORE-certified products. The report is crucial for evaluating progress towards nationwide interoperability, streamlined data exchange, administrative efficiencies, and helps identify challenges hindering the adoption of operating rules and standards, thereby providing strategic insights for overcoming these barriers.