PRESS RELEASE 05/15/19

CAQH CORE today released Phase V Operating Rules approved by the CAQH CORE Board to strengthen the accuracy and consistency of the prior authorization process and move the industry toward full automation.

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.

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

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. 

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.