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)
- Cleveland Clinic
- CHRISTUS Health
- Greater New York Hospital Association (GNYHA)
- Healthcare Financial Management Association
- Laboratory Corporation of America
- Mayo Clinic
- Medical Group Management Association (MGMA)
- Mobility Medical, Inc.
- Montefiore Medical Center
- New Mexico Cancer Center
- OhioHealth
- Ortho NorthEast (ONE)
- Tampa General Hospital
- UC Davis Health
- Virginia Mason Medical Center
- Aetna
- America's Health Insurance Plans (AHIP)
- Ameritas Life Insurance Corp.
- Anthem Inc.
- 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
- Government Employees Health Association, Inc. (GEHA)
- Harvard Pilgrim Health Care
- Health Care Service Corp
- Health Net Inc. (Centene)
- Horizon Blue Cross Blue Shield of New Jersey
- Humana
- Medical Mutual of Ohio, Inc.
- Tufts Health Plan
- UnitedHealthGroup
- Unitedhealthcare
- 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
- Louisiana Medicaid - Molina
- 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
- NACHA The Electronic Payments Association
- NASW Risk Retention Group, Inc.
- National Committee for Quality Assurance (NCQA)
- National Council for Prescription Drug Programs (NCPDP)
- New England Healthcare Exchange Network (NEHEN)
- OneHealthPort
- Private Sector Technology Group
- Tata Consultancy Services Ltd
- Utilization Review Accreditation Commission (URAC)
- Work Group for Electronic Data Interchange (WEDI)
- AccuReg
- AIM Specialty Health
- Allscripts
- athenahealth
- Availity, LLC
- Averhealth
- Cerner/Healthcare Data Exchange
- Change Healthcare
- Cognizant
- Conduent
- CSRA
- DST Health Solutions
- DXC Technology
- Edifecs
- Epic
- Experian
- HealthEdge
- HEALTHeNET
- HMS
- Infocrossing LLC
- InstaMed
- Jopari Solutions, Inc.
- Madaket Health
- NantHealth NaviNet
- NextGen Healthcare Information Systems, Inc.
- OptumInsight
- OODA Health
- PaySpan
- PNC Bank
- PriorAuthNow
- The SSI Group, Inc.
- TIBCO Software, Inc.
- TransUnion
- TrialCard
- TriZetto Corporation, A Cognizant Company
- Utah Health Information Network (UHIN)
- Waystar
- Wells Fargo Bank
CAQH Program
