CAQH CORE Participant List

CAQH CORE Participating Organizations

CAQH CORE has more than 130 industry stakeholders, including health plans that cover more than 150 million commercially insured lives plus Medicare and Medicaid beneficiaries. We are working in collaboration to simplify administrative data exchange. Join us. Become a CAQH CORE Participant today!

Download the CAQH CORE Participant Application Form.

 

  • American Academy of Family Physicians (AAFP)
  • American Hospital Association (AHA)
  • American Medical Association (AMA)
  • CHRISTUS Health
  • Confluence Health
  • Emory Healthcare
  • Greater New York Hospital Association (GNYHA)
  • Healthcare Financial Management Association
  • Laboratory Corporation of America
  • Mayo Clinic
  • MDxHealth
  • Medical Group Management Association (MGMA)
  • Mobility Medical, Inc.
  • Montefiore Medical Center
  • New Mexico Cancer Center
  • OhioHealth
  • Ortho NorthEast (ONE)
  • Tampa General Hospital
  • Virginia Mason Medical Center

 

  • Aetna
  • Anthem Dental
  • Avesis Third Party Administrators, Inc.
  • Blue Cross and Blue Shield of Alabama
  • Blue Cross Blue Shield of Arizona
  • Blue Cross Blue Shield of North Carolina
  • CareFirst BlueCross BlueShield
  • CareSource
  • CIGNA
  • Comprehensive Health Services, Inc.
  • Comprehensive Medical and Dental Program (CMDP) in Arizona
  • Delta Dental of Idaho
  • Delta Dental of Massachusetts
  • DentaQuest
  • Envolve Dental, Inc. (Dental Benefits Manager)
  • GEHA Connection Dental 
  • Guardian Life Insurance Company of America
  • Humana
  • Hyr Medical 
  • Liberty Dental Plan
  • Medical Mutual of Ohio
  • Scion Dental 
  • Solstice Benefits
  • United Concordia 
  • UnitedHealthcare Dental / DBP

 

 
  • 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
  • Kansas Department of Health and Environment
  • Louisiana Medicaid - Molina
  • Michigan Department of Community Health
  • Michigan Public Health Institute
  • Minnesota Department of Health
  • Minnesota Department of Human Services
  • Missouri HealthNet Division
  • North Dakota Medicaid
  • Oklahoma Office of Management Enterprise Services: Employee Group Insurance Division
  • 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
  • Washington State Office of the Insurance Commissioner
  • Kaiser Permanente
  • Marshfield Clinic
  • 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)
  • National Medicaid EDI Healthcare Work Group (NMEH)
  • NJ Shore (WEDI SNIP NY Affiliate)
  • OneHealthPort
  • Private Sector Technology Group
  • Tata Consultancy Services Ltd
  • Utilization Review Accreditation Commission (URAC)
  • Work Group for Electronic Data Interchange (WEDI)
  • Allscripts
  • athenahealth
  • Automated HealthCare Solutions/ezVerify & Validate LLC
  • Availity, LLC
  • Cerner/Healthcare Data Exchange
  • Change Healthcare
  • ClaimRemedi
  • Cognizant
  • Conduent
  • CSRA
  • DST Health Solutions
  • DXC Technology
  • Edifecs
  • Epic
  • eviCore Healthcare
  • Experian
  • GE Healthcare
  • HEALTHeNET
  • HMS
  • inMediata
  • InstaMed
  • McKesson
  • National Decision Support Company
  • NaviNet
  • NEA Powered by Vyne
  • NextGen Healthcare Information Systems, Inc.
  • OptumHealth Financial Service
  • OptumInsight
  • PaySpan
  • PNC Bank
  • PNT Data Corp
  • RealMed, an Availity Company
  • Tesia
  • The SSI Group, Inc.
  • TIBCO Software, Inc.
  • TransUnion
  • TrialCard
  • TriZetto Corporation, A Cognizant Company
  • Utah Health Information Network (UHIN)
  • Ventanex
  • Vyne Medical
  • Wipro
  • ZirMed
Type: 
Membership/Participant list
CAQH Program: 
CORE