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CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process

CAQH CORE has continued to work and educate industry leaders on the importance of improving the prior authorization process. At the end of September, the Prior Authorization Subgroup completed the development of draft operating rules, which will now go through the Formal Voting Process. This process will require the Rules Work Group, Technical Work Group and Certification & Testing Subgroup to review the draft rules and develop the associated Phase V CORE Certification Test Suite. In an effort to enhance collaboration across the healthcare industry, please consider participating in one or more of these groups. To learn more about CAQH CORE participation or to sign up for a group, please email