Healthcare Organizations Voluntarily Earn More Than 150 CAQH CORE Operating Rules Certifications
Milestone Reflects the Added Value Certification Brings to Operating Rules Implementation
The CAQH® Committee on Operating Rules for Information Exchange (CORE®) today announced that healthcare organizations have voluntarily earned more than 150 CORE Certifications and many additional organizations have pledged to become CORE-certified. These commitments are a promising development in the drive to achieve interoperability through end-to-end adoption of healthcare operating rules.
CAQH Solution Provides Instant Access to Coordination of Benefits Information
CAQH® today announced that COB SmartTM has launched in all 50 states and the District of Columbia, enabling health plans and providers to identify overlapping insurance coverage nationwide. A CAQH SolutionTM, COB Smart determines when an individual is covered by more than one insurer and also indicates which insurer should pay first. The solution streamlines coordination of benefits (COB) activities so that healthcare claims can be processed correctly the first time.
Providers Opt for Single Source to Enroll in EFT & ERA with Multiple Payers
CAQH® today announced participation by several additional healthcare payers in its electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment tool. The tool lifts a longstanding administrative barrier to broad use of electronic payments in healthcare by establishing a single online enrollment hub that eliminates the need for providers to enroll in EFT and ERA separately with each payer.
COB SmartTM delivers timely and reliable coordination of benefits (COB) information
CAQH® and a number of major health plans today announced the launch of COB Smart™, a national coordination of benefits (COB) registry that enables providers and health plans to identify individuals with multiple forms of coverage before care is delivered. As a result, COB claims can be processed correctly the first time. The registry is already identifying COB for more than 100 million patients.
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