Industry momentum increases as additional provider groups participate and a leading third party vendor integrates Groups-compatible rosters
Webinar: Improving the Delegated Roster Process
Health plans and delegated provider groups are invited to an August 14 webinar to hear from industry peers who are using CAQH ProView for Groups to share delegated data. Presenters from a regional health plan and delegated group will explain how the solution is changing their approach to delegated data and best practices for implementing a similar process. Learn more or register here.
Paper highlights barriers to automation and a roadmap to a streamlined electronic process
CAQH CORE has released a new white paper on automating prior authorization. The paper identifies six barriers to automation:
The National Committee for Quality Assurance (NCQA) recently completed a review of CAQH ProView, DirectAssure, and CAQH ProView for Groups. In a letter to CAQH, NCQA states, “In addition to increasing efficiency in credentialing and network operations, these solutions are beneficial to NCQA customers in supporting accreditation.”