The CAQH Committee on Operating Rules for Information Exchange (CORE®) today announced that it has awarded more than 200 CORE Certifications to health plans, hospitals and health systems, clearinghouses and vendors. Widely regarded as a must-have seal of approval across the healthcare industry, CORE Certification signifies that these organizations follow a set of HIPAA-mandated standards and operating rules for exchanging electronic administrative data.
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CORE Certification becomes the gold standard for electronic healthcare data exchange
CAQH CORE Announces Phase IV Package for Claims, Prior Authorization, Employee Premium Payment, Enrollment and Disenrollment
The CAQH® Committee on Operating Rules for Information Exchange (CORE®) today announced the approval of the Phase IV CAQH CORE Operating Rules package for four healthcare business transactions: healthcare claims; prior authorization; employee premium payment; and enrollment and disenrollment in a health plan.
To ease credentialing for Illinois physicians, the Council for Affordable Quality Healthcare (CAQH), today announced the launch of its Universal Credentialing DataSource system in the state. CAQH, a not-for-profit alliance of the nation's leading health plans and networks, developed this free service to help physicians more easily and cost-effectively provide required credentialing information to health care organizations under the Illinois Health Care Professional Credentials Data Collection Act.
Change to Drive Expanded Participation and Support Shift to Mandated Environment for Operating Rules Development
CAQH® today announced that a Transition Committee has been launched to make recommendations regarding multi-stakeholder governance of the Committee on Operating Rules for Information Exchange® (CORE®). The Transition Committee was formed as part of a 2010 commitment made by the CAQH board to increase industry participation in operating rules development and adoption. The Committee is charged to develop a three-year governance plan that outlines structure and revenue models for CORE.
Data Refresh Every 120 Days Makes UPD One of the Most Reliable and Trusted Provider Resources Nationwide
CAQH® announced today that more than 800,000 physicians and other healthcare professionals are actively engaged in the voluntary industry-wide effort to reduce excessive paperwork and associated costs by using its online Universal Provider Datasource® (UPD).
DecisionHealth, a leading source for health care news, analysis and instructional guidance, announced today that it will be including CAQH, a nonprofit alliance of health plans and trade associations aimed at simplifying health care administration, to enhance onsite training at the 14th Annual National Provider Enrollment Workshop 2014: Solve your Medicare and Commercial Payer Enrollment Challenges.
2014 CAQH Index Shows Progress, Gaps in Switch from Manual to Electronic
U.S. healthcare could save $8 billion annually by transitioning six routine business transactions from manual to electronic, according to the newly published 2014 CAQH Index™. The CAQH Index tracks progress from manual (e.g., via phone, fax or mail) to industry standardized (HIPAA) electronic administrative transactions between health plans and healthcare providers. This annual report, the second from CAQH, details adoption rates and potential savings.
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.