PRESS RELEASE 01/16/19

2018 CAQH Index

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 12/13/18

Updates to the primary source verification (PSV) solution will offer plans real-time visibility into the credentialing status of each provider throughout the verification process.

Press Release 10/04/18

CAQH has launched CAQH ProView for Groups, simplifying the way data is shared between delegated provider groups and health plans. This first-of-its-kind functionality replaces the highly manual processes widely used today with an intuitive, efficient module within CAQH ProView.

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

Keys to Improving Your Credentialing Process

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

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.

DirectAssure

DirectAssure reduces the need for direct health plan outreach to providers, saving time and expense.