Press Release 08/13/18
CAQH CORE® today announced that state agencies and health plans covering 44 percent of all Medicaid enrollees have achieved some level of CORE Certification. This compares to 78 percent for commercial health plans and 75 percent for Medicare Advantage plans. Medicaid agencies and health plans can save more than $4.8 billion annually by fully adopting CAQH CORE Operating Rules for electronic transactions as verified by certification.
Press Release 07/26/18
The Board of CAQH CORE® released an open letter to the authors of the Consensus Statement on Improving the Prior Authorization Process, urging ongoing cooperation to reduce healthcare costs, ease administrative burdens and improve continuity of care and the patient experience.
Press Release 06/14/18
Increasing Automation of Claims-Related Business Transactions Would Save Healthcare $11.1 Billion Annually
Press Release 06/18/18
With the HITRUST CSF Certified Status, CAQH infrastructure, security and privacy programs, as well as CAQH ProView®, DirectAssure®, VeriFide™, EnrollHub®, SanctionsTrack®, and COB Smart® meet key healthcare regulations and requirements for protecting and securing sensitive private healthcare information.
On-Demand Webinar
Opportunities to lower costs and increase file accuracy are a few reasons why health plans are exploring ways to improve their provider credentialing process. Learn how Aetna has used VeriFide to streamline internal business processes, reduce provider abrasion, and increase cost savings in provider credentialing data verification.
*Registration required.
CAQH ProView
The American Dental Association and CAQH are working together to make it easier for dentists to enter and share their professional and practice data with dental plans.
DirectAssure
DirectAssure reduces the need for direct health plan outreach to providers, saving time and expense.
Provider Data Management
The suite of provider data management solutions by CAQH ensures that health plans have the high-quality provider information needed for a range of business uses including credentialing, directories, sanctions monitoring and EFT/ERA enrollment.
Developed in collaboration with health plans and providers, CAQH Solutions improve data accuracy, reduce administrative burden and costs, streamline businesses processes and mitigate compliance risks.
CORE Certification
Learn about the goals and benefits of the CORE Certification program.
