CAQH CORE Participant List

CAQH CORE Participating Organizations

Industry-led, CAQH CORE Participants include healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations. Health plans participating in CAQH CORE represent 75 percent of the insured US population. We are working in collaboration to simplify administrative data exchange. Join us and become a CAQH CORE Participant today!

Download the CAQH CORE Participant Application Form.

 

  • American College of Physicians (ACP)
  • American Hospital Association (AHA)
  • American Medical Association (AMA)
  • Children’s Healthcare of Atlanta
  • Cleveland Clinic
  • Greater New York Hospital Association (GNYHA)
  • Healthcare Financial Management Association
  • Laboratory Corporation of America
  • Mayo Clinic
  • Medical Group Management Association (MGMA)
  • Montefiore Medical Center
  • New Mexico Cancer Center
  • OhioHealth
  • Ortho NorthEast (ONE)
  • St. Joseph's Health
  • Virginia Mason Medical Center

 

  • Aetna
  • Ameritas Life Insurance Corp.
  • Aultcare
  • Blue Cross and Blue Shield Association (BCBSA)
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of North Carolina
  • Blue Cross Blue Shield of Tennessee
  • CareFirst BlueCross BlueShield
  • Centene
  • CIGNA
  • Coventry Health Care
  • Elevance Health
  • Government Employees Health Association, Inc. (GEHA)
  • Health Care Service Corp
  • Health Net Inc. (Centene)
  • Horizon Blue Cross Blue Shield of New Jersey
  • Humana
  • Medical Mutual of Ohio, Inc.
  • Point32Health
  • UnitedHealthGroup

 

 
  • Arizona Health Care Cost Containment System
  • California Department of Health Care Services
  • Centers for Medicare and Medicaid Services (CMS)
  • Federal Reserve Bank of Atlanta
  • Florida Agency for Health Care Administration
  • Health Plan of San Joaquin
  • Michigan Department of Community Health
  • Minnesota Department of Health
  • Minnesota Department of Human Services
  • Missouri HealthNet Division
  • North Dakota Medicaid
  • Oregon Department of Human Services
  • Oregon Health Authority
  • Pennsylvania Department of Public Welfare
  • TRICARE
  • United States Department of Treasury Financial Management
  • United States Department of Veterans Affairs
  • Highmark Health (Highmark Inc.)
  • Kaiser Permanente
  • Marshfield Clinic/Security Health Plan of Wisconsin, Inc.
  • Accenture
  • ASC X12
  • Cognosante
  • Health Level 7 (HL7)
  • Healthcare Business Management Association
  • Mettle Solutions
  • NACHA The Electronic Payments Association
  • NASW Risk Retention Group, Inc.
  • National Association of Health Data Organizations (NAHDO)
  • National Committee for Quality Assurance (NCQA)
  • National Council for Prescription Drug Programs (NCPDP)
  • New England Healthcare Exchange Network (NEHEN)
  • Ohio Hospital Association
  • Private Sector Technology Group
  • Tata Consultancy Services Ltd
  • Utilization Review Accreditation Commission (URAC)
  • Work Group for Electronic Data Interchange (WEDI)
  • AIM Specialty Health
  • athenahealth
  • Availity, LLC
  • Averhealth
  • Cedar
  • Cerner/Healthcare Data Exchange
  • Change Healthcare
  • Claim.MD
  • Cognizant
  • Conduent
  • CSRA
  • DXC Technology
  • Edifecs
  • Epic
  • Experian
  • HealthEdge
  • HEALTHeNET
  • HMS
  • Infocrossing LLC
  • InstaMed
  • NantHealth NaviNet
  • NextGen Healthcare
  • Olive AI
  • OptumInsight
  • PaySpan
  • PNC Bank
  • PriorAuthNow
  • SS&C Health
  • The SSI Group, Inc.
  • TIBCO Software, Inc.
  • TrialCard
  • TriZetto Corporation, A Cognizant Company
  • Utah Health Information Network (UHIN)
  • Wells Fargo Bank
Type
Membership/Participant list
CAQH Program
CORE