Past CAQH Events

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At the start of the pandemic, telehealth visits increased by over 7,500%. Join CAQH CORE and WEDI for a webinar on this rapidly expanding digital health landscape. Get an overview of WEDI and CAQH/CAQH CORE efforts related to telehealth. Our guest speakers will present and engage in a live discussion providing insights on key topics including:
Presentation Resources
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Attend this informative webinar for an industry update on the status of electronic healthcare payments, including information from the CAQH Index, NACHA Volumes, and InstaMed’s “Trends in Healthcare Payments” report. In addition, learn how payment and remittance standards and operating rules can improve your billing and collection processes. We will have a conversation with our speakers on the latest trends and ways to benefit from standardization to improve revenue cycle management.
Presentation Resources
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Join the CAQH CORE Team as we speak with CAQH CORE Board Member, Troy Smith, Vice President of Healthcare Strategy and Payment Transformation at Blue Cross Blue Shield of North Carolina. Troy will highlight BCBSNC’s priorities related to value-based payments and interoperability and discuss current industry challenges. He will also share his thoughts on how CAQH CORE and operating rules can continue to drive industry progress through alignment of clinical and administrative data.  
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Join us for our upcoming CAQH CORE Town Hall to learn about our current initiatives.
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The X12 005010X221A1 Health Care Claim Payment/Advice (835) TR3 Implementation Guide is the HIPAA-adopted standard for claim payment/advice. This guide provides standardized data content for creation and use of the 835 transaction. The 835 is used throughout the healthcare marketplace by providers to post claim payments and adjustments to their accounting systems. CAQH CORE Payment & Remittance Operating Rules help the industry more effectively implement and use the 835 transaction to understand payment decisions and optimize denial management.
Presentation Resources
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The CORE Code Combinations organize claim denial and adjustment codes into unique business scenarios for more consistent code use across industry. CAQH CORE conducts a biennial Market-based Review (MBR) of the CORE Code Combinations to address industry business needs.
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Join the CAQH CORE Team to learn more about new and updated CAQH CORE Operating Rules approved with overwhelming support in late 2020 for industry implementation, including:
Presentation Resources

Closing the Gap: The Industry Continues to Improve, But Opportunities for Automation Remain

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The cost of manual healthcare administrative activities continues to be a burden for plans, providers and vendors, but the industry has also made progress in a number of areas. Join the CAQH Index team on Wednesday, February 10th to learn about: 
Presentation Resources
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CAQH CORE will provide an update of its work efforts and priority initiatives for 2021 to deliver administrative efficiency and value to the healthcare industry. Topics will include:
Presentation Resources
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Starting in 2021, CORE-certified entities will be required to renew their CORE Certifications every three years on a rolling basis. Register for this webinar to understand how to assess ongoing conformance with the operating rules through CORE Recertification. Webinar highlights will include:
Webinar Resources