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Physicians and other health providers are now using this industry standard for provider data collection



     Health Reform

November 18, 2011

NCVHS Enrollment Testimony by CAQH 

NCVHS Maintenance and Updating of Stds and ORs Testimony by CAQH

November 17, 2011

NCVHS Claims Attachment Testimony by CAQH 

September 6, 2011

CAQH CORE Comment Letter to CMS RE: CMS-0032-IFC

August 22, 2011

CAQH CORE Model Comment Letter RE: CMS-0032-IFC

August 1, 2011

CAQH CORE Request for CORE Participant Input on the July 8th IFR for Eligibility and Claim Status

(Supplement - Overview of CAQH CORE Phases I & II)

CAQH CORE and NACHA letter to NCVHS RE: Update on Draft CAQH CORE EFT and ERA Operating Rules

July 8, 2011

IFR Issued on CMS Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions

April 27-28, 2011
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing

CORE Testimony on The Acknowledgment Transaction Standard
CORE written testimony
CORE presentation

CORE Testimony on Maintenance and Modifications to Standards and Operating Rules
CORE written testimony
CORE presentation

March 23, 2011
NCVHS Letter Issued to HHS Recommending CAQH CORE to Develop National EFT and ERA Operating Rules

December 3, 2010
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing


Part I:

CORE Eligibility and Claims Status Update Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 50:00)
CORE presentation


Part II:

CORE ERA/EFT Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 4:25:30)

General

Search by date: CAQH CORE Activities Related to Upcoming Mandate (includes testimony at NCVHS Hearings)


More information on the Upcoming Operating Rules Mandate


  

CORE Phase II
Committed Organizations:

Are You Ready to Submit
Your Phase II Pledge?


  

THE PHASE II RULES

CORE Phase II
Scope and Rules


  

STATE ACTIVITIES

CORE State Activity


  

UPCOMING CORE PRESENTATIONS:

NCPDP Standards in Pharmacy Rules and Regulations: From Inception to Implementation
2/7/12

HIMSS12 Annual Conference & Exhibition
CAQH Booth #9013
2/20/12 - 2/24/12

20th National HIPAA Summit
3/26/12 - 3/28/12

NACHA Payments 2012
4/29/12 - 5/2/12

21st Annual WEDI National Conference

4/30/12 - 5/3/2012

View the complete list of 2012 CORE presentations.

2009 Press Releases

To view a press release, click on the link below. Where indicated, the releases are in PDF format. For these, you will need Acrobat Reader.

 12/28/09

Aetna and WellPoint Achieve CORE Phase II Certification

 10/8/09

Colorado Multi-Stakeholder Work Group Recommends State-Wide Use of the CORE Rules for Electronic Administrative Data Exchange

 09/2/09

First Vendor Exclusively Providing Medicaid Service Achieves CORE Certification, Demonstrates Advance of Industry Solution

 07/30/09

Cleveland Clinic Community Physician Partnership, Johns Hopkins HealthCare Join More Than 500 Organizations in Simplifying Provider Data Collection

 06/2/09

Study Results Show CAQH CORE Certification Dramatically Cuts Administrative Costs, Accelerates I.T. Adoption By Providers and Health Plans

 05/28/09

CAQH and EHNAC Partnership to Discount Fees for Clearinghouses Seeking Both CORE Rules Certification and HNAP Accreditation

 05/18/09

NaviNet is the First Vendor to Achieve CAQH CORE Phase II Certification for Consistent Healthcare Administrative Data Exchange

 04/27/09

Large Provider Groups, HIT Vendor Increase CAQH Initiative Momentum to Streamline EDI

 04/2/09

Harvard Pilgrim Health Care Using CORE Rules to Improve Provider Access to Consistent Electronic Eligibility, Benefits, and Claims Data

 03/31/09

CAQH UPD Service Has Transformed Data Collection, Credentialing for 700,000 Providers

 03/4/09

CAQH Announces Humana Inc. Certified to Use CORE Phase I Rules

 01/29/09

CAQH Taps Edifecs to Certify Organizations, Products Follow CORE Phase II Rules

 01/26/09

Ohio Multi-stakeholder Committee Recommends Adoption of CORE Rules for Exchanging Patient Eligibility Information

 01/15/09

Highmark Blue Cross Blue Shield, 37 Hospitals Among New Group of Organizations Saving Administrative Time And Money Through CAQH Initiative

 01/9/09

Texas Multi-stakeholder Committee Recommends Adoption of CORE Rules for Eligibility Verification

 01/5/09

Healthcare Organizations Launch Collaborative Initiative to Test HIPAA Transactions Against Proposed 5010 Standards