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.
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Vyne Dental receives certification for Eligibility and Benefits Operating Rules
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.
Enhancements to CAQH ProView for Groups will reduce administrative burdens, improve data accuracy and support compliance with the No Surprises Act
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.
CAQH today announced that Rick Ratliff has joined the organization as Senior Vice President for Business Development and Marketing.
CAQH CORE convenes stakeholders from across healthcare to develop recommendations for meeting No Surprises Act requirements
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.
TDRAAP accreditation program paves the way for apps and plans to connect and
for consumers to gain greater access to their healthcare data
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
Centralized resource streamlines information sharing between health plans, Medicaid agencies and third-party app developers ahead of CMS Interoperability and Patient Access rule deadlines
CAQH today announced the launch of the CAQH Endpoint Directory, a centralized repository of validated payer FHIR endpoints and third-party applications.
Costs for electronic processing have decreased as costs for manual and partially electronic transactions have increased, resulting in opportunities for future savings
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.
Guidelines establish consistent industry expectations for sharing of patient attribution information and exchanging data
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.