November 2015

More than 200 CORE Certifications Awarded

November 2015

CAQH CORE recently announced that it has awarded more than 200 CORE Certifications. Created and maintained with broad multi-stakeholder input, the CORE Certification program works with independent testing entities to evaluate whether organizations applying for certification use information systems that conform to the standards and operating rules. 

Dental Plans Finding Value in EnrollHub

November 2015

Several of the nation’s leading dental plans are enabling dentists to sign up for electronic payments with multiple payers at one time. The plans are participating in EnrollHub® to simplify the process for electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment, removing a longstanding barrier to broad use of electronic payments among dentists and other healthcare providers.

Health Plan Strategies for Coordination of Benefits

On-Demand Webinar

October 2015

CAQH recently hosted a webinar with Kaiser Permanente and Blue Cross and Blue Shield of North Carolina (BCBSNC) to discuss how health plans can improve coordination of benefits (COB) through greater industry collaboration. Both health plans implemented a collaborative, secure solution to automate COB.

Other News

New Phase IV CAQH CORE Operating Rules National Webinar

December 10, 2015 | 02:00 PM ET

The Complete Set of Phase IV CAQH CORE Operating Rules was approved through the CAQH CORE voting process in September 2015. This webinar will give a high-level overview of Phase IV Rules and new resources and tools to support industry implementation of the new operating rules.

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New CAQH Staff

Scott Hefner, Senior Manager, Business Development

Scott is expanding participation in the growing portfolio of CAQH Solutions by creating and implementing targeted sales strategies. Previously, he held business development positions to support revenue and partnership goals with various software solutions companies, including MEA/NEA, Jopari Solutions, and ACS/Xerox.

Winifrid (Winn) Whaley, Senior Program Manager

Winn is responsible for program management of new CAQH Solutions and advancing the CAQH Project Management Office (PMO) to help ensure alignment and success in delivering project objectives.  Before joining CAQH, she was a business analyst, consultant, and delivery manager for KPMG Consulting and Electronic Data Systems (EDS)/Hewlett-Packard (HP) for the past 18 years. 

In the News

EmblemHealth Achieves Phase III CAQH CORE Certification

CAQH CORE awards more than 200 CORE Certifications for electronic health data exchange

CAQH CORE Milestone: 200 Operating Rules Certifications Awarded to Healthcare Organizations

Looking toward the future - 2015

RCM tip of the day: Leverage RCM vendors' tools

New Rules Approved for HIPAA Transactions

Sorin Davis Discusses CAQH ProView Credentialing Solution In symplr Monthly Webcast Series