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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.

Universal Provider Datasource®

The CAQH Universal Provider Datasource (UPD) service is the industry standard for collecting provider data used in credentialing, claims processing, quality assurance, emergency response, member services, such as directories and referrals, and more. By streamlining data collection electronically, UPD is reducing duplicative paperwork and millions of dollars of annual administrative costs for more than 960,000 physicians and other health professionals, as well as over 600 participating health plans, hospitals and healthcare organizations.

A single, standard online form is the centerpiece of the service. Providers in all 50 states and the District of Columbia are able to enter their information free of charge through an interview-style process. All data is stored in a secure, centralized database housed in the United States.

The UPD form meets the data-collection requirements of URAC, the National Committee for Quality Assurance (NCQA) and the Joint Commission standards. Indiana, Kansas, Kentucky, Louisiana, Maryland, Missouri, New Jersey, New Mexico, Ohio, Rhode Island, Tennessee, Vermont and the District of Columbia have adopted the CAQH standard form as their mandated or designated provider credentialing application.

UPD makes it easy for providers to access, manage and revise their information at their convenience. Providers keep total control of the data, authorizing only the UPD-participating organizations of their choice. Revisions are made available instantly to authorized healthcare organizations – there’s no need to contact each organization individually.

The CAQH service is supported by America’s Health Insurance Plans, the American Academy of Family Physicians, the American College of Physicians, the American Health Information Management Association, the American Medical Association, the Medical Group Management Association and other provider organizations.

Use the navigation tools in the Universal Provider Datasource menu above to learn more about: the benefits of the UPD service, who is participating, how to use the service, contact information to get started with UPD today and more.