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 Hospital Association (AHA)
  • American Medical Association (AMA)
  • CHRISTUS 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
  • 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
  • CareSource
  • CIGNA
  • Community Health Plan of Washington
  • Coventry Health Care
  • Delta Dental Plans Association
  • EmblemHealth
  • Excellus Blue Cross Blue Shield
  • Government Employees Health Association, Inc. (GEHA)
  • Harvard Pilgrim Health Care
  • Health Care Service Corp
  • Health Net Inc.
  • Highmark, Inc
  • Horizon Blue Cross Blue Shield of New Jersey
  • Humana
  • Security Health Plan of Wisconsin, Inc. (Marshfield Clinic)
  • Medical Mutual of Ohio, Inc.
  • Palmetto GBA
  • Premera Blue Cross Blue Shield
  • 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
  • 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
  • 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
  • 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)
  • Vyne Medical
  • Waystar
  • Wipro
CAQH Program: