All organizations seeking CORE Certification that create, transmit, or use the administrative transactions addressed by the CAQH CORE Operating Rules will have to undergo CORE Certification Testing to obtain a CORE Certification Seal for any applicable CAQH CORE Operating Rule Sets. All parties essential to the success of the transactions are addressed in the CORE Certification Testing process: providers, health plans, clearinghouses, and vendors. CORE Certification Testing varies by stakeholder type.
Organizations that do not create, transmit, or use administrative data, such as associations and medical societies, are not eligible for CORE Certification. However, such organizations may demonstrate their support for CAQH CORE’s mission and operating rules by signing the CORE Endorser Pledge and applying for and using the CORE Endorser Seal. See “What does it mean to be a CORE Endorser?” for more information on CORE Endorsement.