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January 2013 Operating Rules Deadline
Is Your Organization Ready to Test Operating Rules with Trading Partners?
Why: The administrative simplification provisions in Section 1104 of the Patient Protection and Affordable Care Act (ACA) require all HIPAA-covered entities to adopt the Phase I & Phase II CAQH CORE Eligibility and Claim Status Operating Rules by January 1, 2013. Given the deadline, entities should be testing their operating rules implementation to identify any challenges.
Who: Organizations that are ready to test operating rules implementation with trading partners are highlighted below.
- Your organization may submit its name and contact information for inclusion on this list.
- Your organization may use the list to identify and connect with trading partners that are also ready to test.
How: Use the button below to submit the name of your organization and a contact to appear on this list. CAQH will update the list within one business day from the time the request is received.
Organizations are encouraged to reference this list frequently to identify additional trading partners that are ready for testing.
|Title||Primary Contact Name||Ready to test with trading partners*|
|BlueCross BlueShield of Tennessee||eBusiness Solutions|
|Bluegrass Family Health||Robert Mastin|
|Harvard Pilgrim Health Care||Rhonda Starkey|
|Health Partners Plans||Dawn M. Candia|
|HealthPlus of Michigan||Matt Devitt|
|Mutual of Omaha||Kent Dewell|
*The CORE-certification Seal signifies that an entity is using the CORE operating rules in daily business. CAQH awards CORE Certification Seals to entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules. Voluntary CORE Certification is available for providers, health plans, clearinghouses, and vendors that successfully complete the CORE testing and certification process. See the website for Edifecs, a CORE-authorized testing vendor, for CORE-required testing that must be conducted in order to apply to CORE for a CORE Certification Seal.
THIS PORTION OF THE CORE WEBSITE IS MADE AVAILABLE FOR ORGANIZATIONS TO SELF-REPORT THEIR READINESS FOR TRADING PARTNER TESTING. CAQH DOES NOT CONTROL THE CONTENT POSTED TO THIS PAGE. THIS PAGE IS GOVERNED BY THE CAQH TERMS OF SERVICE AND BY SUPPLEMENTAL TERMS FOR SELF-REPORTED INFORMATION.