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Convening for Better Business Operations
CAQH CORE brings the industry together to accelerate automation and develop business processes that streamline healthcare for patients, providers and health plans.
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Making the Business of Healthcare More Automated and Efficient

Operating Rules

Leading the development of business rules that remove cost and complexity from the health ecosystem

Health IT Policy

Informing the national dialogue on interoperability and health IT

Digital Transformation

Identifying opportunities to accelerate the transition to fully digital healthcare business processes

Why Join CORE?

CORE brings industry stakeholders together to identify and streamline inefficient business processes and accelerate interoperability. Lend your voice to this national conversation about the future of healthcare.

Join CORE

The Value of CORE Certification

CORE Certification demonstrates that an organization's IT systems or products conform to operating rules developed by the industry to accelerate automation and improve interoperability across healthcare.

The CORE Certification process has five components:

1
Pre-certification
2
Signing the pledge
3
Conducting testing
4
Receiving the seal
5
Becoming re-certified
Learn More About CORE Certification

Resources to Increase Your Organization's Productivity

CAQH CORE offers a variety of online resources to provide support on operating rule implementation and CAQH CORE initiatives.

Latest Reports & Whitepapers

Establishing the Building Blocks for Price Transparency:

Industry Guidance on Provider to Payer Approaches for Good Faith Estimate Exchanges

CAQH CORE Report on Attachments:

A Bridge to a Fully Automated Future to Share Medical Documentation 

 

The Connectivity Conundrum:

How a Fragmented System Is Impeding Interoperability and How Operating Rules Can Improve It