CAQH Press Releases | Affordable Quality Health Care Press | News

First Regional Health Information Organization and First-Ever Phase III CORE Certifications Awarded as Certification Queue Builds


The CAQH® Committee on Operating Rules for Information Exchange (CORE®) today announced that Horizon Healthcare Services, Inc., New Jersey’s oldest and largest health insurer, has earned voluntary CORE Certification for its Phase I and Phase II CAQH CORE Operating Rules implementation. Nearly 70 organizations and products have voluntarily achieved one or more phases of CORE Certification.

CAQH Named by Computerworld as a 2013 Computerworld Honors Laureate

Award Recognizes Universal Provider Datasource (UPD) for 
Collaboration and Positive Impact


 CAQH® today announced that it has been named by IDG’s Computerworld Honors Program as a 2013 Laureate. The annual award program honors visionary applications of information technology promoting positive social, economic and educational change.

CAQH earned the honor for facilitating industry-wide collaboration that uses technology to eliminate redundant administrative paperwork, saving providers an estimated 4.9 million hours and more than $147 million annually with its Universal Provider Datasource®(UPD®) initiative.

Ten Additional Healthcare Organizations Achieve
Voluntary CAQH CORE Operating Rules Certifications

Voluntary Certifications Ensure Operating Rules Compliance and
Enhance Value across Providers, Vendors, and Health Plans


CAQH® announced today that ten additional organizations, including leading health plans representing approximately 30 million covered lives, and prominent clearinghouses and vendors, have earned voluntary CAQH CORE Phase I or Phase II Operating Rules certification after completing a rigorous testing process. This brings to more than 60 the number of healthcare organizations and products that have achieved CORE certification.

Unique Collaboration by 12 of the Nation’s Top Insurers will Streamline and Improve Accuracy of Coordination of Benefits Process


 CAQH® announced today a major new initiative designed to reduce costs and improve the accuracy of coordination of benefits processes. This initiative will enable health plans and providers to “get it right the first time,” and more efficiently manage benefits for patients with policies from more than one insurer. CAQH research suggests that administrative efficiencies associated with benefits coordination could, over time, save consumers, providers, health plans and others more than $800M per year.


New Online Tool Lets Providers Enroll in EFT
with Multiple Payers through a Single, Online Process

CAQH Solution Facilitates Compliance with EFT Mandate,
Eliminates Administrative Redundancies and Saves Costs 


CAQH® announced today the launch of a new, universal electronic funds transfer (EFT) enrollment tool for providers that facilitates the use of electronic payments between payers and providers by offering a single point of entry for adopting EFT. By streamlining and automating the EFT enrollment process, the tool creates efficiencies and cost savings for both payers and providers by eliminating the need for providers to enroll in EFT separately for each health plan in which they participate.