List of Participating Organizations

CORE Participating Organizations

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!

Download a CORE Participant Application Form.

Health Plans
Aetna, Inc.
Ameritas Life Insurance Corp.
Anthem, 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
Community Health Plan of Washington
Coventry Health Care
EmblemHealth
Excellus Blue Cross Blue Shield
Government Employees Health Association, Inc. (GEHA)
Group Health Cooperative 
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
Palmetto GBA 
Premera Blue Cross Blue Shield 
Providence Health Plan  
Tufts Health Plan 
UnitedHealth Group

 

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 
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
Florida Agency for Health Care Administration 
Kansas Department of Health and Environment
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 Services
Oregon Health Authority
Pennsylvania Department of Public Welfare 
TRICAREUnited 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
CSG Government Solutions
Cognizant
Cognosante
MEDIX Consulting LLC
NASW Risk Retention Group, Inc.
OptumHealth Financial Service 
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
Emory Healthcare
Greater New York Hospital Association (GNYHA)
HealthCare Partners Medical Group
Laboratory Corporation of America 
Mayo Clinic
Medical Group Management Association (MGMA)
Mobility Medical, Inc.
Montefiore Medical Center in New Yorkl
NYU Langone Medical Center
Ortho NorthEast (ONE)
Sound Family Medicine
Tampa General Hospital
University of Maryland Faculty Physicians, Inc.
UNMC Physicians
Virginia Mason Medical Center

 

Vendors/Clearinghouses
AHCS / ezVerify & Validate
Allscripts  
athenahealth, Inc. 
Availity, LLC
Bank of America Merrill Lynch
Cerner
ClaimRemedi
Computer Sciences Corporation (CSC)
DST Health Solutions
Edifecs
Emdeon
EMS Management & Consultants 
Epic
Fifth Third Bank
GE Healthcare
HEALTHeNET
HMS 
HP Enterprise Services, LLC
inMediata
InstaMed
Medical Electronic Attachment, Inc.
MEDTranDirect
NaviNet
NextGen Healthcare Information Systems, Inc.
OptumInsight
Passport Health Communications
PaySpan
PNC Bank
Post-N-Track
RealMed, an Availity Company
Recondo Technology, Inc.
RelayHealth 
The Clearing House
The SSI Group, Inc.
TriZetto Corporation, A Cognizant Company 
TriZetto Provider Solutions
Ventanex
VISA, Inc. 
Wipro Infocrossing
Xerox Corporation
ZirMed

CAQH Program: