- Operating Rules
- CORE Certification
- Value-Based Payments
- Industry Topics and Comment Letters
- Education and Implementation Resource Center
- Join CORE
- CAQH ProView
- CAQH ProView for Groups
- CAQH ProView - Dental
- Provider Directory - DirectAssure
- Credentialing Solutions Suite
- COB Smart
Humana Joins CAQH and the National Effort to Streamline Healthcare Business Practices and Improve Provider Data
WASHINGTON, DC - 11/14/18–
CAQH®, an industry alliance working to transform the business of healthcare, today announced that Humana has joined the organization and will serve on the CAQH board of directors.
“We are thrilled that Humana is joining CAQH and will help lead the effort to improve healthcare business processes,” said Robin Thomashauer, President of CAQH. “Humana’s engagement will further advance our mission to make information sharing across the industry more accurate and efficient.”
CAQH is a collaboration of health plans, associations, and other stakeholders working together to streamline the business of healthcare. Advanced technology solutions created by CAQH -- CAQH ProView®, DirectAssure®, VeriFide™, SanctionsTrack®, EnrollHub® and COB Smart® -- enable nearly 1,000 health plans and more than 1.4 million healthcare providers to exchange information needed for provider directories, credentialing, claims processing, quality assurance and member services accurately, efficiently and securely. CAQH CORE participating organizations write operating rules that allow administrative information to be exchanged seamlessly between payers, providers, vendors and clearinghouses.
Based in Louisville, KY, Humana's diverse lines of business serve 16.5 million consumers, including families, seniors, military members and self-employed individuals. Humana has participated in CAQH Solutions for many years and is now strengthening its commitment by becoming a member.
“Solving significant challenges, such as provider directory accuracy, require the industry to work together,” said Alan Wheatley, Retail Segment President at Humana. “We are pleased to be joining CAQH to collaborate with other stakeholders and make a difference for plans, providers and, of greatest importance, members.”
To learn more about how CAQH is streamlining the business of healthcare, visit www.caqh.org.
CAQH is the leader in creating initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and health plans. Visit www.caqh.org and follow us on Twitter: @caqh.
Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.
To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.
More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
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