Organizations that can obtain the Health Care Claims CORE Certification Seal are categorized into four CORE Certification stakeholder types: Providers, Health Plans, Clearinghouses, and Vendors.
The Health Care Claims CAQH CORE Certification Test Suite includes examples of organizations that can obtain the Health Care Claims CORE Certification Seal. The Health Care Claims CAQH CORE Certification Test Suite also provides guidance as to the type of stakeholders to which the CAQH CORE Health Care Claims Operating Rules apply and how to determine when a specific rule’s detailed test script applies to a stakeholder.