Attributed Patient Roster Operating Rules

Attributed Patient Rosters are used by health plans, providers and employers to share lists of patients attributed to a provider under a value-based contract. The CAQH CORE Attributed Patient Roster Operating Rules establish consistent expectations for the electronic exchange of attributed patient rosters among stakeholders at predictable intervals by supporting consistent data content, infrastructure and a connectivity safe harbor using the X12 005010X318 Member Plan Reporting (834) Transaction.

Complete Set of CAQH CORE Attributed Patient Roster Operating Rules

CAQH CORE Attributed Patient Roster (X12 005010X318 834) Data Content Rule vAPR.1.0

CAQH CORE Attributed Patient Roster (X12 005010X318 834) Infrastructure Rule vAPR.1.0

CAQH CORE Connectivity Rule vC4.0.0

CORE Certification & Endorsement 

CORE Certification for Attributed Patient Rosters will be available to all entities that create, transmit or use the X12 005010X318 Member Plan Reporting (834) Transaction to send Attributed Patient Rosters later in 2021. Entities that do not use, create or transmit Attributed Patient Rosters will be able to demonstrate their support for CAQH CORE’s mission and its operating rules through CORE Endorsement.

Implementation Resources

Visit the Resource Library webpage to access FAQs, Analysis & Planning Guides, Webinars and more to support implementation of the CAQH CORE Operating Rules. For more information about the operating rules process or CORE Certification, contact CAQH CORE at CORE@caqh.org.

Audience
CAQH Program