Press Release 03/20/19
CAQH CORE has awarded more than 350 certifications to healthcare organizations that conform to CAQH CORE Operating Rules. In becoming certified, these entities – which include health plans, Medicaid programs, providers, vendors and more – demonstrate their commitment to automation, interoperability and efficient business processes.
PRESS RELEASE 03/14/19
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.
PRESS RELEASE 02/28/19
MD-Staff, the ASM flagship credentialing system, now automatically generates rosters that may be uploaded directly into CAQH ProView for Groups.
PRESS RELEASE 01/16/19
The 2018 CAQH Index reveals that the healthcare industry continues to make progress automating business processes. Electronic adoption and transaction volume increased, with several common transactions reaching 80 percent electronic adoption across the sector.
Press Release 01/23/19
Leading managed care plans in Tennessee have adopted CAQH ProViewⓇ to increase the accuracy of provider data in the state.
Press Release 08/13/18
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.
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.
