CAQH Press Releases | Affordable Quality Health Care Press | News

20 HEALTHCARE ORGANIZATIONS SET TO ACHIEVE CAQH CORE PHASE II RULES CERTIFICATION

Increased Adoption of Enhanced Administrative Data Exchange and Interoperability Rules Expected to Generate Continuous Stepwise Savings

WASHINGTON, DC -

CAQH® announced today that twenty health plans, clearinghouses, providers and health information technology vendors have achieved or will certify their implementation of the CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase II rules. Recently, six organizations joined CORE as participants, three others have endorsed and another four achieved Phase I certification.

NEW YORK STATE ADOPTS UNIVERSAL PROVIDER DATASOURCE TO REDUCE ADMINISTRATIVE COSTS FOR MEDICAID

America’s Second Largest Medicaid System Streamlines Provider Data Collection and Enrollment

WASHINGTON, DC -

CAQH®, announced today that the New York State Department of Health, Office of Health Insurance Programs (New York Medicaid) has chosen the Universal Provider Datasource® (UPD) to electronically collect standardized provider data for participants in the state Medicaid program. The second largest program of its kind in the United States, New York Medicaid covers approximately 4.3 million residents.

CAQH AND VERISIGN PILOT INDUSTRY SOLUTION FOR SECURE DATA EXCHANGE

Health Plans and Providers to Evolve Electronic Transactions Authentication

Washington, D.C. and Mountain View, Calif. -

CAQH®, a non-profit alliance of health plans and trade associations working to simplify healthcare administration, is joining with VeriSign, Inc. (NASDAQ: VRSN) to conduct a pilot program demonstrating the secure authentication that is essential to the national agenda for health IT interoperability.

ARMY NATIONAL GUARD CENTRALIZED CREDENTIALING PROGRAM WINS EXCALIBUR AWARD

ALPHARETTA, GA -

The Army National Guard’s centralized credentialing program was awarded the prestigious Surgeon General’s Excalibur Award at the Military Health System Conference held last week in Washington, DC.

National Plans Improve Provider Access to Consistent Electronic Eligibility,
Benefits and Claims Data for 50 Million Members​

WASHINGTON, DC -

CAQH® announced today that Aetna and WellPoint, together serving over 50 million members, are the first national health plans to earn certification for electronically exchanging administrative data using the CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase II rules.

FIRST VENDOR EXCLUSIVELY PROVIDING MEDICAID SERVICE ACHIEVES CORE CERTIFICATION, DEMONSTRATES ADVANCE OF INDUSTRY SOLUTION

Thirteen New Entities Working with Over a Million Providers Join in Helping Develop Rules that Streamline Electronic Administrative Data Exchange

WASHINGTON, DC -

CAQH® announced today that its Committee on Operating Rules for Information Exchange® (CORE) initiative is advancing its goal to provide an electronic data exchange solution that can support all payers, public and private alike. CAQH has awarded CORE-certification to the first vendor solely focused on offering Medicaid services. Moreover, CAQH has achieved increased support from twelve other organizations since April.

COLORADO MULTI-STAKEHOLDER WORK GROUP
RECOMMENDS STATE-WIDE USE OF THE CORE RULES
FOR ELECTRONIC ADMINISTRATIVE DATA EXCHANGE

WASHINGTON, DC -

In its September 2009 Final Report and Recommendations to Develop a Standardized Electronic Identification System for Health Insurance, a Colorado Work Group has recommended that the Commissioner of Insurance require the uniform use of the CAQH® Committee on Operating Rules for Information Exchange® (CORE) rules. The CORE rules are proposed for use by payers, providers, and vendors to improve interoperability and streamline the exchange of administrative healthcare information.

CLEVELAND CLINIC COMMUNITY PHYSICIAN PARTNERSHIP,
JOHNS HOPKINS HEALTHCARE JOIN MORE THAN 500 ORGANIZATIONS
IN SIMPLIFYING PROVIDER DATA COLLECTION

Twenty Organizations Sign On to CAQH UPD Service in Second Quarter

WASHINGTON, DC -

CAQH® announced today that an additional 20 organizations are eliminating redundant processes and streamlining provider data collection through its Universal Provider Datasource® (UPD) online service.

STUDY RESULTS SHOW CAQH CORE CERTIFICATION DRAMATICALLY
CUTS ADMINISTRATIVE COSTS, ACCELERATES I.T. ADOPTION
BY PROVIDERS AND HEALTH PLANS

Industry-wide Implementation Could Yield $3 Billion of Savings in Three Years

WASHINGTON, DC -

CAQH® announced today that a study of results achieved by health care providers and health plans that are certified to use the Phase I rules of its Committee on Operating Rules for Information Exchange® (CORE) showed dramatic cost savings, accelerated use of real-time electronic transactions, improved claims verifications and reduced claims denials.

CAQH AND EHNAC PARTNERSHIP TO DISCOUNT FEES FOR CLEARINGHOUSES
SEEKING BOTH CORE RULES CERTIFICATION AND HNAP ACCREDITATION

WASHINGTON, DC -

CAQH® and the Electronic Healthcare Network Accreditation Commission (EHNAC) announced today that they have formed a partnership to promote electronic health data exchange through, and industry best practices for, clearinghouses.