Take the Next Step in Administrative Efficiency: Phase V CAQH CORE Prior Authorization Operating Rules
Learn about the CAQH CORE vision and approach for standardizing and automating the prior authorization (PA) process. The Phase V CAQH CORE Operating Rules address needed data content in the PA transaction and greater consistency across other modes of PA submissions. What will you learn?
- Phase V CAQH CORE Prior Authorization Operating Rule requirements in detail.
- Next steps as you consider whether implementation is right for your organization.
- How to engage in additional industry efforts to improve the Prior Authorization process; including pilots, work flows, and final determination.