CAQH Press Releases | Affordable Quality Health Care Press | News

Continuous Improvement Will Increase Accuracy of Healthcare Utility to 97% or More

WASHINGTON, DC - 9/22/10

CAQH® released the results of a landmark study to assess the quality and accuracy of data reported by providers about their professional credentials and practice information at its 2010 Administrative Simplification Conference. The study was conducted based on a thorough review of 108 data points that providers self-report to the Universal Provider Datasource® (UPD®), which electronically gathers provider data from all 50 states and the District of Columbia for credentialing and other uses, such as member directories.

WASHINGTON, DC - 9/15/10

CAQH® announced today that its board of directors has elected David S. Wichmann, executive vice president, UnitedHealth Group and president, UnitedHealth Group Operations, to serve as the new board chair.

Nationally Recognized Utility Chosen to Streamline Credentialing for Physicians and Allied Healthcare Professionals in Four States


CAQH® announced today that Health Care Service Corporation (HCSC) has selected the Universal Provider Datasource® (UPD®) to streamline provider data collection. HCSC will use the UPD service to electronically gather provider data for credentialing and other uses, such as member directories.

HCSC is a Chicago-based health benefits company serving 12.4 million members. It is the fourth largest health insurer and the biggest customer-owned health insurer in the United States.

Increased Adoption of Administrative Data Exchange and Interoperability Rules Enhance Service for 3 Million Members

WASHINGTON, DC - 6/24/10

CAQH® announced today that BlueCross BlueShield of Tennessee (BCBST) has achieved certification for its implementation of the CAQH Committee on Operating Rules for Information Exchange® (CORE®) Phase II rules. The certification will benefit more than 3 million insured members of the Tennessee health plan.

Nearly 600,000 Providers Nationwide Can Access Streamlined Eligibility and Benefits Data From One of the Nation’s Largest Plans

WASHINGTON, DC - 5/26/10

 CAQH® announced today that CIGNA has earned certification for electronically exchanging administrative data, for more than 11 million medical customers, using the CAQH Committee on Operating Rules for Information Exchange® (CORE®) Phase I operating rules. The CORE rules are improving the flow and data content of administrative exchanges between providers and health plans.

Increased Adoption of Enhanced Administrative Data Exchange and Interoperability Rules Expected to Generate Continuous Stepwise Savings

WASHINGTON, DC - 4/15/10

CAQH® announced today that twenty health plans, clearinghouses, providers and health information technology vendors have achieved or will certify their implementation of the CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase II rules. Recently, six organizations joined CORE as participants, three others have endorsed and another four achieved Phase I certification.

Data Refresh Every 120 Days Makes UPD One of the Most Reliable and Trusted Provider Resources Nationwide

WASHINGTON, DC - 3/19/10

CAQH® announced today that more than 800,000 physicians and other healthcare professionals are actively engaged in the voluntary industry-wide effort to reduce excessive paperwork and associated costs by using its online Universal Provider Datasource® (UPD).

America’s Second Largest Medicaid System Streamlines Provider Data Collection and Enrollment


CAQH®, announced today that the New York State Department of Health, Office of Health Insurance Programs (New York Medicaid) has chosen the Universal Provider Datasource® (UPD) to electronically collect standardized provider data for participants in the state Medicaid program. The second largest program of its kind in the United States, New York Medicaid covers approximately 4.3 million residents.

Health Plans and Providers to Evolve Electronic Transactions Authentication

Washington, D.C. and Mountain View, Calif. - 2/16/10

CAQH®, a non-profit alliance of health plans and trade associations working to simplify healthcare administration, is joining with VeriSign, Inc. (NASDAQ: VRSN) to conduct a pilot program demonstrating the secure authentication that is essential to the national agenda for health IT interoperability.


The Army National Guard’s centralized credentialing program was awarded the prestigious Surgeon General’s Excalibur Award at the Military Health System Conference held last week in Washington, DC.