CAQH Press Releases | Affordable Quality Health Care Press | News

IT Company’s ClickON®E-Verify, ClickON®Net Eligibility Products to Follow CORE Phase I Data Rules

WASHINGTON, DC - 12/18/06

CAQH announced today that The SSI Group, Inc. (SSI) is the first healthcare organization to receive Committee on Operating Rules for Information Exchange (CORE) certification seals, after successfully completing CORE Phase I certification testing – a process ensuring that healthcare organization’s IT systems and products can electronically exchange and verify insurance eligibility and benefits information according to the CORE Phase I rules.

WASHINGTON, DC - 12/14/06

CAQH today announced it has authorized the Claredi certification testing solution from Ingenix for confirming that healthcare organizations’ IT systems and IT vendor products comply with Committee on Operating Rules for Information Exchange (CORE) Phase I rules. 

Universal Credentialing Datasource® Achieving Administrative Simplification Goals

WASHINGTON, DC - 12/12/06

CAQH announced today that its Universal Credentialing Datasource® (UCD) service has topped the 400,000 registered provider mark, making it the healthcare industry’s most successful initiative to simplify provider data-collection.

UCD is effectively reducing provider administrative costs by nearly million per year or 2 million man-hours (the equivalent of 919 full-time employees) – the amount of time required to complete and send the application forms, based on a Medical Group Management Association cost analysis.

CAQH CORE Rules Allow Providers to Rapidly Verify Insurance Coverage, Eligibility

WASHINGTON, DC - 12/7/06

CAQH announced today that U.S. healthcare providers are now one step closer to eliminating their office insurance clipboards. According to the nonprofit healthcare alliance, administrative data communication rules created by its Committee on Operating Rules for Information Exchange (CORE) have been included in the Health Information Technology Standards Panel (HITSP) Consumer Empowerment specifications recommendation to the U. S. Department of Health and Human Services.

WASHINGTON, DC - 9/14/06

More than 20 leading healthcare organizations, including Aetna, Inc.; AultCare; Blue Cross Blue Shield of North Carolina; Emdeon; Health Net, Inc.; Health Plan of Michigan; Humana Inc.; Mayo Clinic; McKesson Provider Technologies; Montefiore Medical Center; Siemens; and WellPoint, Inc. and its 14 Blue-licensed subsidiaries, have committed to making it significantly easier for physicians and other health professionals to verify patient insurance information – one of the biggest administrative challenges identified by providers, CAQH announced today.

WASHINGTON, DC - 8/16/06

After an extensive evaluation process, CAQH announced today that it has authorized Edifecs to certify that healthcare organizations’ IT systems are in compliance with its Committee on Operating Rules for Information Exchange (CORE) Phase I rules.

Service Has Eliminated More Than 1 Million Paper Applications to Date

WASHINGTON, DC - 3/13/06

CAQH announced today that more than 300,000 providers are now reducing paperwork and administrative costs through its Universal Credentialing DataSource® (UCD) service.

Based on figures from a September 2004 Medical Group Management Association cost analysis, UCD is eliminating nearly million per year or more than 1.3 million hours (the equivalent of 656 full-time employees) of provider and support staff time required to complete and send the application forms. CAQH estimates UCD has eliminated more than 1 million legacy credentialing applications to date.

WASHINGTON, DC - 3/13/06

CAQH announced today that it has received a grant from the California HealthCare Foundation (CHCF), an independent philanthropy committed to improving California's health care delivery and financing system, to target patient identification as a component of its Committee on Operating Rules for Information Exchange (CORE) initiative.

WASHINGTON, DC - 2/23/06

CAQH, a nonprofit alliance of the nation’s leading health plans and networks working to simplify healthcare administration, announced today that Private Healthcare Systems (PHCS) will use its Universal Credentialing DataSource® (UCD) service to streamline provider sanctions monitoring.

PHCS (www.phcs.com) is the largest national proprietary PPO in the U.S. It will use UCD’s newest feature, the Ongoing Sanctions Monitoring Module, to track sanctions information about the 450,000 providers in its network.

WASHINGTON, DC - 2/15/06

CAQH, an alliance of the nation's leading health plans and networks working to simplify healthcare administration, announced today that it has named Harry L. Reynolds, vice president of HIPAA and information compliance officer at Blue Cross and Blue Shield of North Carolina (BCBSNC), Chair of its Committee on Operating Rules for Information Exchange (CORE) Steering Committee.

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