CAQH

2019 CAQH Index - Conducting Electronic Business Transactions: Why Greater Harmonization Across the Industry is Needed

PRESS RELEASE 02/18/20

Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

CAQH, an industry alliance working to transform the business of healthcare, today announced that Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has joined other national health benefits companies in the effort to improve the accuracy of health care provider directories by participating in CAQH DirectAssure^®.

PRESS RELEASE 02/04/20

CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors, and government entities, has voted to set two-day time limits on how quickly health plans must request additional supporting information from providers and make final determinations on prior authorization requests.

PRESS RELEASE 01/21/20

CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation

CAQH^® today released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated with administrative transactions through automation. The 2019 CAQH Index found that, of the $350 billion dollars widely cited as the cost of administrative complexity in the US healthcare system, $40.6 billion is spent on eight administrative transactions.

White Paper

The Connectivity Conundrum

The Connectivity Conundrum white paper is an in-depth study of the challenges and opportunities associated with connectivity.

PRESS RELEASE 05/22/19

Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy

Leading health plans across Texas are adopting CAQH ProView to improve the accuracy of provider data.

White Paper

CAQH CORE Report on Attachments

The CAQH CORE Report on Attachments: A Bridge to a Fully Automated Future to Share Medical Documentation, examines the challenges associated with the exchange of medical information and supplemental documentation used for healthcare administrative transactions. The report identifies five areas to improve processes and accelerate the adoption of electronic attachments.

PRESS RELEASE 03/14/19

CAQH Develops Artificial Intelligence to Improve Provider Directory Accuracy

CAQH has developed patent-pending artificial intelligence (AI) technology to identify incorrect healthcare provider data and improve the accuracy of directories without contacting the provider.

CAQH ProView

ADA and CAQH Simplify the Credentialing Process for Dentists

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.