Benefit Enrollment Operating Rules

The Benefit Enrollment transaction (834) is used by employers, as well as unions, government agencies or insurance agencies, to enroll members in a healthcare benefit plan. The CAQH CORE Benefit Enrollment Operating Rules support consistent infrastructure and a connectivity safe harbor across the industry.

Complete Set of CAQH CORE Benefit Enrollment Operating Rules

CAQH CORE Benefit Enrollment (834) Infrastructure Rule vBE.1.0

       • CAQH CORE v5010 Master Companion Guide

CAQH CORE Connectivity Rule vC3.1.0

        • XML Schema v3.1.0 

        • WSDL Schema v3.1.0 

        • CAQH CORE-Required Processing Mode Payload Type Tables

CORE Certification & Endorsement

CORE Certification for Benefit Enrollment is available to all entities that create, transmit or use benefit enrollment transactions. Entities that do not use, create or transmit benefit enrollment transactions can 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.

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