CAQH CORE Participating Organizations
CORE Participants include health plans representing 75 percent of the insured US population, healthcare providers, vendors, government entities, associations, standard-setting organizations and other healthcare organizations.
- American Dental Association (ADA)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- Aspen Dental Management, Inc.
- Children’s Healthcare of Atlanta
- DaVita Inc.
- 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
- Peace Health
- St. Joseph's Health
- University of Iowa College of Dentistry
- 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
- Elevance Health
- Health Care Service Corp
- 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 Health & Human Services
- 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.
- Cognosante
- Health Level 7 (HL7)
- Healthcare Business Management Association
- NACHA The Electronic Payments Association
- National Association of Healthcare Access Management (NAHAM)
- National Association of Health Data Organizations (NAHDO)
- National Committee for Quality Assurance (NCQA)
- National Council for Prescription Drug Programs (NCPDP)
- National Dental EDI Council (NDEDIC)
- New England Healthcare Exchange Network (NEHEN)
- Preferra Insurance Company Risk Retention Group
- Sekhmet Advisors
- Tata Consultancy Services Ltd
- Utilization Review Accreditation Commission (URAC)
- Work Group for Electronic Data Interchange (WEDI)
- X12
- AIM Specialty Health
- athenahealth
- Availity, LLC
- Change Healthcare
- Claim.MD
- Cloud Software Group
- Cognizant
- Conduent
- CSRA
- DentalXChange
- Edifecs
- Epic
- Experian
- HealthEdge
- HEALTHeNET
- HMS
- Infocrossing LLC
- J.P. Morgan Healthcare Payments
- Lassie
- MCG Health, Inc
- NantHealth NaviNet
- NextGen Healthcare
- Optum Insight
- PaySpan
- PNC Bank
- PriorAuthNow
- SS&C Health
- Stedi, Inc.
- Surescripts
- The SSI Group, LLC.
- TriZetto Corporation, A Cognizant Company
- Utah Health Information Network (UHIN)
- Wells Fargo Bank
- Zelis
- Zuub