PRESS RELEASE 02/04/20
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® 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 white paper is an in-depth study of the challenges and opportunities associated with connectivity.
PRESS RELEASE 05/22/19
Leading health plans across Texas are adopting CAQH ProView to improve the accuracy of provider data.
White Paper
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 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
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.
