Join us as the CAQH Index celebrates its 10-year anniversary! This special report highlights the progress that the industry has made over the last decade automating administrative transactions as well as changes in volume and transaction costs during the second year of COVID.

In 2021, while automation continued to expand and utilization increased as offices re-opened, transaction costs rose as practices were forced to increase salaries to retain and attract new employees and rely on workers who were less experienced and efficient.

More details coming soon.

Is your organization CORE-Certified? If so, it may be time for Recertification. CORE-certified entities are required to renew their CORE Certifications every three years on a rolling basis to demonstrate ongoing conformance with operating rules. Recertification supports new market needs, evolving technology, mergers/acquisitions, and system upgrades. Join the CAQH CORE team on the 16th to learn more about:

Join us to review the new and updated operating rule package proposed for federal mandate. The National Committee on Vital and Health Statistics (NCVHS) requested industry feedback via a Request for Comment due December 15th, 2022. Join the CAQH CORE team to learn more about the proposed rule package and the federal review process.

Join CAQH CORE and X12 on December 1st for our second joint webinar covering the 270/271 transaction, standard, and operating rules series. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors. Meanwhile, the 271 transaction set is the appropriate response mechanism for healthcare eligibility and benefit inquiries.

CAQH CORE Participants are invited to join the CAQH CORE leadership for a discussion on 2023 goals and priority initiatives. Topics covered will include:   

On November 3, CAQH CORE staff will host a conversation with revenue cycle expert and CAQH Board Member, Margaret Schuler, about her experience leading interoperability and revenue cycle initiatives and the value of standardization and automation. Margaret will provide insights from across the medical and dental industries and discuss why she believes operating rules are a critical tool for streamlining data exchange.

Join CAQH CORE for an update on continued efforts to support industry implementation of price transparency regulations, including the Good Faith Estimate (GFE) requirements in the No Surprises Act. The GFE requirement under the No Surprises Act aims to give patients and consumers a clear sense of what upcoming health care services will cost, however has presented various operational challenges and ambiguity for stakeholders.

Join the CAQH CORE team for an update of current and ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Topics will include:   

The Health Care Eligibility Benefit Inquiry and Response and the associated X12 Technical Report Type 3 Implementation Guides provide the HIPAA-adopted standards for healthcare eligibility and benefit inquiries. These guides provide standardized data content for creation and use of the v5010 270/271 transaction. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors.