CAQH Releases New Features to Streamline How Hospitals and Group Practices Manage Directory and Credentialing Information and Share It with Health Plans

Enhancements to CAQH ProView for Groups will reduce administrative burdens, improve data accuracy and support compliance with the No Surprises Act

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CAQH today released enhancements to its flagship provider data platform, CAQH ProView, that will streamline how hospitals and group practices manage credentialing and directory information and share it with health plans. Now, with CAQH ProView for Groups, practice managers can generate rosters of physicians, confirm directory data and share it with selected health plans in one secure web portal.

Rick Ratliff Joins CAQH Leadership Team
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CAQH today announced that Rick Ratliff has joined the organization as Senior Vice President for Business Development and Marketing.

CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits

CAQH CORE convenes stakeholders from across healthcare to develop recommendations for meeting No Surprises Act requirements

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WASHINGTON, DC—NOVEMBER 9, 2021—CAQH CORE released guidance today for how healthcare providers and plans can meet the Advanced Explanation of Benefits (EOB) requirements included in the No Surprises Act, signed into law in December 2020.

CAQH and EHNAC Partner to Provide Incentives for FHIR App Developers to Become Accredited

TDRAAP accreditation program paves the way for apps and plans to connect and
for consumers to gain greater access to their healthcare data

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CAQH and the Electronic Healthcare Network Accreditation Commission (EHNAC) have partnered to provide incentives for application developers participating in the CAQH Endpoint Directory to become accredited through the

CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps

Centralized resource streamlines information sharing between health plans, Medicaid agencies and third-party app developers ahead of CMS Interoperability and Patient Access rule deadlines

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CAQH today announced the launch of the CAQH Endpoint Directory, a centralized repository of validated payer FHIR endpoints and third-party applications.

CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation

Costs for electronic processing have decreased as costs for manual and partially electronic transactions have increased, resulting in opportunities for future savings

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CAQH today released the eighth annual report measuring the progress made by healthcare payers and providers in automating administrative transactions. The 2020 CAQH Index found that, of the $372 billion widely cited as the cost of administrative complexity in the US healthcare system, the industry can save $16.3 billion by fully automating nine common transactions.

New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments

Guidelines establish consistent industry expectations for sharing of patient attribution information and exchanging data

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CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors and government entities, today released new operating rules for patient attribution data exchange and an update to existing connectivity rules.