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CORE:

CAQH launched the Committee on Operating Rules for Information Exchange (CORE) to develop an all-payer solution that ensures electronic healthcare administrative data exchange is streamlined and consistent, regardless of the technology.

How to discuss CORE certification with your business partners (health plans, IT Vendors) and simplify healthcare administration in your practice:

Providers can benefit from CORE simply by working with CORE-certified business partners. In doing so, providers have almost instant access to consistent healthcare administrative information before or at the time of service using the electronic system of their choice for any patient or health plan. CORE rules:

1. Enhance interoperability between providers and payers
2. Streamline eligibility and benefits data transactions
3. Reduce the amount of time and resources providers spend on administrative functions—time better spent with patients

If you have a business partner that is not currently CORE-certified, you may want to make that partner aware of the benefits of becoming CORE-certified. CAQH has compiled a Trading Partner Toolkit containing valuable information that you should address if discussing CORE with a business partner. The toolkit provides important facts that your business partners should understand before pursuing CORE certification. View the Toolkit.

CORE Organizations:

• CORE Participants
• CORE-certified
• CORE-endorsers

UPD:

The CAQH Universal Provider Datasource (UPD) is setting the industry standard for provider data collection. UPD is achieving its vision of simplified credentialing by reducing paperwork and millions of dollars of annual administrative costs for more than 600,000 providers and 400 health plans, hospitals and MCOs across the United States.

How to login/complete your application:

1. Go online to https://upd.caqh.org/oas/.
2. Click “Logging in for the first time?”
3. Enter CAQH Provider ID.
   If you don’t have this ID, call the CAQH Support Desk at (888) 599-1771 or email caqh.updhelp@acsgs.com
4. Enter authentication data.
5. Create username and password (make sure you write down this login information and keep it in a safe place).

Support Desk Contact Information:

• Phone: 1-888-599-1771
• Email: caqh.updhelp@acsgs.com

Health organizations collecting provider data through UPD:

• View organizations participating in the UPD service.

Using the UPD to simplify healthcare administration in your practice:

• UPD can simplify healthcare administration for providers and provider practice groups. Learn more about the benefits of participating in the UPD service.