Performant Healthcare Solutions (Nasdaq: PFMT), (Performant), a leading provider of technology-enabled payment integrity, eligibility, and related analytics services, and Council for Affordable Quality Healthcare, (CAQH), an industry alliance of nearly 1,000 health plans, 2 million providers, and other healthcare stakeholders working to solve healthcare business challenges, today announced a partnership to improve payment integrity and coordination of benefits (COB) programs for health plans, including regional and community-based health plans.
Vyne Dental receives certification for Eligibility and Benefits Operating Rules
CAQH CORE announced today that it has awarded 400 certifications to healthcare organizations that conform to CAQH CORE Operating Rules. In becoming certified, these providers, health plans, government entities, clearinghouses and vendors have demonstrated their commitment to automation, interoperability and efficient business processes.
Industry approved guidelines support better administrative operations and information at the point of care
CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors and government entities, today released new operating rules to improve day-to-day healthcare operations and how plans and providers exchange information related to benefits coverage and supplemental documentation. More than 88 percent of participating organizations approved adoption of these rules.
While volume of administrative transactions declined, increases in the cost of manual processes resulted in higher medical industry spending
WASHINGTON, DC—JANUARY 31, 2022—CAQH today released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes.