May 2016

Latest CAQH Index Report Shows $8 Billion Annual Savings Opportunity Remains for US Healthcare

May 2016

How does your organization compare to the rest of the healthcare industry in adopting electronic business transactions? The 2015 CAQH Index offers benchmark data, enabling organizations to see where they are excelling and where opportunities for improvement exist.  Specifically, the Index measures adoption rates, cost, and savings associated with the shift from manual to electronic HIPAA transactions between health plans and healthcare providers.

Dental Industry Finds Value in CAQH Initiatives

May 2016

As with other segments of healthcare, dental plans and dentists need to operate more efficiently to succeed amidst rising cost pressures and demand for high quality, affordable care. CAQH initiatives are helping the dental industry address business challenges through collaborative efforts that simplify administrative processes and reduce costs. Dental plans and dentists can participate in several CAQH initiatives to streamline their business processes.

CAQH CORE Board Urges Adoption of Phase IV Operating Rules for Industry

May 2016

In a recent letter to the National Committee on Vital and Health Statistics (NCVHS), the multi-stakeholder CAQH CORE Board urged the recommendation of the Phase IV CAQH CORE Operating Rules to the Secretary of the Department of Health and Human Services (HHS).

other news


Improving Provider Directory Accuracy

A Webinar for Health Plans, featuring UnitedHealthcare | June 1, 2016 | 12:00 PM ET

Maintaining accurate, timely provider directories continues to challenge health plans. In this webinar, UnitedHealthcare and CAQH will share how a proven solution, collaboratively developed by leading health plans, helps both plans and providers meet new directory requirements.

New Phase IV CAQH CORE Operating Rules - Infrastructure Rule Requirements and Value Proposition

June 10, 2016 | 02:00 PM ET

This webinar will give a detailed overview of the infrastructure requirements within the new Phase IV CAQH CORE Operating Rules. Presenters also will describe how implementation leads to added business value, such as increased efficiency, revenue and customer satisfaction.

New CAQH Staff

Warren Chang, Inside Sales Manager

Warren is part of the growing CAQH Solutions team and manages interactions with prospective CAQH ProView participating organizations. Warren joins CAQH from Avalere Health (since purchased by Inovalon) where he was a Senior Associate focused on helping attract new clients for consulting projects. 

Rebecca Etrata, Senior Accountant 

Rebecca manages billing and collections across all CAQH services.  She previously worked as a Staff Accountant at the School Nutrition Association and a Senior Staff Accountant at Dykes Restaurant Supply in Huntsville, Alabama.

Brian Penn, Senior Quality Assurance Manager

Brian works across CAQH to drive quality assurance efforts internally and with development vendors. Previously, he was a test manager on the DMI NASA headquarters contract, where he architected and implemented an end-to-end automated testing solution, and also designed and deployed a custom workflow management project used to test over 50 applications on multiple technology platforms.  

Nalini Rao, Senior Program Manager

Nalini is a lead project manager for the launch of a new CAQH initiative on primary source verification. Most recently, she worked as a Project Director at Phase2 Technology implementing large scale content management systems and collaboration sites for Fortune 500 companies, non-profit organizations and federal government agencies.

Tarun Theogaraj, Senior Product Manager

Tarun is responsible for ensuring EnrollHub is capable of delivering on users electronic payment and remittance advice enrollment needs now and in the future. Prior to joining CAQH, he worked as Senior Product Manager at DrFirst, where he led the expansion of multiple products into new markets.  

Vladimir Vasiltsov, Senior Technical Manager 

Vladimir works with CAQH Solutions Program and Product management teams to align technical system designs and implementations with requirements. He most recently worked at Evolent Health as an Associate Director in the application development team.

In the News

HIT Think Why it’s important to boost security in the payment process

Digital transactions could save insurers, providers $8B

IT Update

PokitDok Awarded CAQH CORE Certification, Demonstrates Commitment to Simplifying Insurance Verification

Reducing Manual Business Transactions Saves Billions

Readers Write: All Claim Attachments are Not Created Equal

2015 CAQH Index: Trimming Manual Business Transactions Can Save U.S. Healthcare $8 Billion Annually

Automated HIPAA transactions can save payers, providers $8.5B each year

Digital Billing Move to Save Providers $7 Billion: Alliance

CAQH Index shows potential $8 billion in savings linked to adoption of HIPAA electronic administrative transactions

Could Electronic Processing Reduce Medical Spending Rates?

Transition to HIPAA Electronic Administrative Transactions Could Save Industry $8 Billion, says CAQH

CAQH Index: E-admin transactions can save healthcare industry $8 billion annually

Reducing manual transactions can save U.S. healthcare $8 billion annually

Switch from manual to electronic transactions could save healthcare billions: 6 findings

US could save $8B by electronically processing biz transactions

Electronic administrative processes could save healthcare $8B: 5 things to know - Reducing manual business transactions can save U.S. health care $8 billion annually: CAQH

Reducing Manual Business Transactions Can Save U.S. Healthcare $8 Billion Annually

Report: Electronic Transactions Could Save Healthcare $8B Yearly

Progress toward simplification between hospitals, health plans