The CAQH Index is the industry source for tracking health plan and provider adoption of electronic administrative transactions. The CAQH Index is representative of the medical and dental industry as well as pharmacy services.
Below are additional resources and frequently asked questions to help provide more context for the report and organization participation.
The CAQH Index is the industry source for tracking health plan and provider adoption of electronic administrative transactions. It also estimates the industry cost savings opportunity, an amount that declines as adoption and efficiency grows. The CAQH Index is representative of the medical and dental industry as well as pharmacy services. Data is collected and reported annually.
The CAQH Index tracks common medical, dental and pharmacy administrative transactions:
Reported transactions may vary from year to year based on the data collected.
Medical and dental health plans, providers, vendors and pharmacy benefit managers (PBMs) contribute data to the CAQH Index.
For the 2022 CAQH Index, data collected from medical plans represented 204 million lives, or approximately 60 percent of covered lives in the U.S. Data submissions from medical plans represented three billion claims and over 14 billion total transactions. Data collected from dental plans represented 126 million lives, or approximately 48 percent of covered dental lives in the U.S. Dental data submissions represented 201 million claims and a total of 828 million transactions. Organizations interested in contributing data should click here.
Medical and dental plans and pharmacy benefit managers report information on numbers of transactions by type (fully electronic, partially electronic or manual), as well as information on costs of those transactions. Participating medical and dental providers report on cost and time of transactions. Plans, providers and pharmacy benefit managers may learn more about contributing data to the CAQH Index at any time by clicking here.
Data is collected and reported annually. Ad hoc reports are released throughout the year.
Data collection will begin Summer 2023 and ends in Fall 2023. Click here for more information on the 2022 CAQH Index call for participants.
Organizations can express interest in contributing data to the CAQH Index by clicking here.
By participating as a data contributor, organizations at every stage of adoption can help improve the overall quality of data, enabling deeper industry insight into the transition from manual to electronic administrative transactions. Data contributors also receive a customized report comparing organizational performance to national results for adoption and cost savings opportunities.
Since 2011, CAQH has owned and operated the Index. CAQH currently partners with NORC at the University of Chicago to assist with the provider data collection and analyses.
Yes. You can download a complimentary copy of the CAQH Index on the website here.
Yes. We just ask that you cite the CAQH Index report.
Yes. For speaking engagements, please email insights@caqh.org.
Yes. Please find the most recent CAQH Index webinar recording and slides here.