Past CAQH CORE Events

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The Health Care Eligibility Benefit Inquiry and Response and the associated X12 Technical Report Type 3 Implementation Guides provide the HIPAA-adopted standards for healthcare eligibility and benefit inquiries. These guides provide standardized data content for creation and use of the v5010 270/271 transaction. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors.
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Join CAQH CORE for an update on continued efforts to support industry implementation of price transparency regulations, including the Advanced Explanation of Benefits (EOB) requirements in the No Surprises Act (NSA). In May, CAQH CORE convened an industry Focus Group to discuss preparations to meet these NSA requirements.
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Join CAQH CORE and Nacha for a webinar to learn about how electronic payments improve the dental practice revenue cycle. Hear from Dr. Hope Watson, DMD, who will discuss how accepting EFT claim payments has benefited Watson Family Dentistry. This webinar will also address common EFT misconceptions and highlight how providers can reap rewards when working with dental plans and vendors who have adopted EFT standards and their supporting operating rules help to streamline payments.

Join us June 8 to improve your practice’s financials!

Featured Speakers:
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CAQH CORE will provide an update of its work efforts and priority initiatives for 2022 to deliver administrative efficiency and value to the healthcare industry.
Presentation Resources
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Join the CAQH CORE Team to learn more about new and updated CAQH CORE Operating Rules approved with overwhelming support in 2022 for industry implementation, including:
Presentation Resources
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CAQH CORE will provide an update of its work efforts and priority initiatives for 2022 to deliver administrative efficiency and value to the healthcare industry. Topics will include:
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Join CAQH CORE staff for an update on the Advanced Explanation of Benefits (EOB) Advisory Group’s efforts to develop consensus-based recommendations to support components of the Advanced EOB requirements in the No Surprises Act.

What will you learn by registering for this webinar?
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CAQH CORE Participants are invited to join the CAQH CORE Board Chairs and leadership for a discussion on 2022 goals and priority initiatives. Topics covered will include:   
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The X12 005010X221A1 Health Care Claim Payment/Advice (835) TR3 Implementation Guide is the HIPAA-adopted standard for claim payment/advice. This guide provides standardized data content for creation and use of the 835 transaction. The 835 is used throughout the healthcare marketplace by providers to post claim payments and adjustments to their accounting systems. CAQH CORE Payment & Remittance Operating Rules help the industry more effectively implement and use the 835 transaction to understand payment decisions and optimize denial management.
Presentation Resources
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CAQH CORE, together with Cleveland Clinic and PriorAuthNow, is pleased to share additional findings highlighting the impact of greater prior authorization automation and workflow integration leveraging standards and operating rules at Cleveland Clinic. Cleveland Clinic will share how the implementation of an integrated prior authorization solution is improving the ability of staff to conduct prior authorizations and creating a more efficient process.

This is the second case study webinar in a series related to the CAQH CORE Pilot & Measurement Initiative, which works with industry organizations to measure the impact of standards and operating rules on efficiency metrics and staff experience. The recording for the first webinar in the series can be accessed HERE.

What will you learn by registering for this webinar?

  • Hear more about Cleveland Clinic’s prior authorization experience with the PriorAuthNow solution, and its commitment to prior authorization standardization.
  • Learn about the long-term impact that enhanced automation leveraging standards and operating rules has on provider staff administrative burden and turnaround time, as well as other metrics.
  • Discuss how operating rules enable a more optimized prior authorization process and can seamlessly integrate into the provider workflow.

Our panel:

  • Daniel Medve, Director, Revenue Cycle Management, Cleveland Clinic
  • Dan Dedels, Senior Vice President, Customer Operations, PriorAuthNow
  • Bob Bowman, Director, CAQH CORE
  • Kristine Burnaska, Director, CAQH Explorations
  • Marianna Singh, Senior Associate, CAQH CORE