Skip to main content
Top left menu
  • Providers
  • Health Plans
  • Login
    Top Login Menu
    • ProView Login
      Provider Data Portal
    • COB Smart Login
      Member Data Portal
    • Participant Dashboard
      CORE Participant Login
Home
  • About
    About CAQH
    About CAQH
    • About
    • Board of Directors
    • Leadership
    • Careers
     
    • Blog
    • News
    • Media Kit
    Connect. Solve. Transform.

    CAQH data solutions, operating rules and research help nearly 1,000 health plans, 2 million providers and government entities connect, exchange information and operate more efficiently.

    See Open Positions
  • CORE
    About CORE
    About CORE
    • CORE
    • CORE Participation
      • Participation Overview
      • Participating Organizations
      • Priority Topics
      • Current Initiatives
    • CORE Certification
      • Certification Overview
      • Certification Process
      • Certification Enforcement
      • Certified Organizations
    • CORE Operating Rules
      • Operating Rules
      • Rules Recommended to HHS
     
    • Board
    • Resource Library
    • Participant Dashboard
    Help shape the healthcare landscape

    CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities.

    Join CORE
  • Solutions
    About Solutions
    About Solutions
    • Solutions
    • Provider Data
      • Overview
      • Credentialing Suite
      • Primary Source Verification
      • Sanctions Monitoring
      • Directory Management
    • Member Data
      • Overview
      • Coordination of Benefits
      • Medicaid Solutions
    • Interoperability
      • Overview
      • Endpoint Directory
     
    • Custom Data Solutions
    • Consulting Services
    Provider and member data solutions

    Connecting, solving and transforming healthcare business challenges.

    Request Demo
  • Insights
    About Insights
    About Insights
    • Insights
    • Index Report
    • Industry Research
    The CAQH Index Report

    The Index is the authoritative source of information on the healthcare industry’s progress toward more automated and efficient business processes.

    Learn More
  • Resources
    Resources
    Resources
    • Resources
    • Blog
    • Case Studies
    • Fact Sheets
    • Events
     
    • FAQs
    • CAQH University
    • Support
    CAQH Resources

    FAQs, Case Studies, Issue Briefs, and more.

    Discover
Top left menu
  • Providers
  • Health Plans
  • Login
    Top Login Menu
    • ProView Login
      Provider Data Portal
    • COB Smart Login
      Member Data Portal
    • Participant Dashboard
      CORE Participant Login

Search

Connect. Solve. Transform.

CAQH collaborates with health plans, providers and related organizations to make the business of healthcare more streamlined and efficient.

Streamlining the Business of Healthcare

CAQH enables 1,000 health plans, 2 million providers and other entities connect, exchange information and operate more efficiently. CAQH Solutions and CAQH CORE bring the industry together to make sharing business information more automated and predictable. CAQH Insights researches opportunities to reduce manual processes in healthcare administration.

Data Solutions that Improve Healthcare Administration

Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes.

From the Blog

Message from Health Care Claims Subgroup Co-Chairs: Rule Development Update
July 20 2023

As representatives of healthcare business services companies, provider organizations, health plans, and associations, we spend time optimizing data transmission workflows to improve healthcare administration in our day-to-day jobs. Within the health care claims processing landscape, efficiency…

A Message from the CAQH CORE Value-based Payment Co-chairs: Early Progress and Directions
June 29 2023

Background and Prioritization of Value-based Payments

The CAQH CORE Value-based Payment (VBP) Subgroup launched on April 27, and recently had its third meeting on June 8, 2023. As co-chairs of this important initiative, we’re pleased to share more about the rule development opportunities…

Data Strategies for Every Health Plan
June 26 2023

Healthcare payers are using data in new ways to improve the member experience, reduce provider abrasion and streamline operations. In a recent interview with SmartBrief, industry strategist, Tyler Ford, vice president of strategy and partnerships at CAQH discusses key opportunities to better…

Reports and Events

Webinar
An Introduction to the X12N 275 Claim Attachment
Learn more about the X12N 275 Claim Attachment transaction and the Attachments Operating Rules for Health Care Claims from our expert panel.
Latest Issue Brief
Centralized Provider Data Management
With a deep focus on enhancing patient care, BCBST embarked on a holistic transformation of their organizational structure, processes, and technology. They partnered with CAQH to develop a centralized provider data management strategy and accelerate provider enrollment.
Index Report
A Decade of Progress
For over ten years, the CAQH Index has tracked the progress the medical industry has made in utilizing electronic processes. Significant gains have been made towards automating tasks along the administrative workflow — a notable accomplishment — despite the ever-changing healthcare landscape.
 
NewCo Logo
Contact
2020 K Street, NW
Suite 900
Washington, DC 20006
twitter linkedin
  • Terms of Service
  • Privacy Policy
  • Careers
  • Contact
© 2023 CAQH
About
  • About
  • Board of Directors
  • Leadership
  • Careers
  • Separator
  • Blog
  • News
  • Media Kit
CORE
  • CORE
  • CORE Participation
  • CORE Certification
  • CORE Operating Rules
  • Separator
  • Board
  • Resource Library
  • Participant Dashboard
Solutions
  • Solutions
  • Provider Data
  • Member Data
  • Interoperability
  • Separator
  • Custom Data Solutions
  • Consulting Services
Insights
  • Insights
  • Index Report
  • Industry Research
Resources
  • Resources
  • Blog
  • Case Studies
  • Fact Sheets
  • Events
  • Separator
  • FAQs
  • CAQH University
  • Support