March 2020

CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

March 2020

CAQH CORE has voted to set two-day time limits on how quickly health plans must request additional supporting information from providers and make final determinations on prior authorization requests.

Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

March 2020

Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has joined other national health benefits companies in the effort to improve the accuracy of health care provider directories by participating in CAQH DirectAssure®.

CAQH Hosts Third COB Smart Symposium

March 2020

Recently, representatives from health plans across the country convened in Washington DC for the third COB Smart Symposium. The event represents a rare opportunity for thought leaders to meet in person to share best practices and collaborate on strategies to improve the coordination of benefits (COB) process.

Traditionally, COB is managed through manual, reactionary processes that often result in unnecessary administrative burdens, and lost revenue. However, plans are increasingly adopting automated processes that allow them to manage payments before a claim is submitted.