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National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules

CAQH CORE today announced that the National Committee on Vital and Health Statistics (NCVHS) has recommended the adoption of CAQH CORE Operating Rules to the Secretary of Health and Human Services (HHS). 

“Healthcare is constantly evolving, and timely, up-to-date guidelines are critical to driving automated data exchange,” said Linda Reed, SVP and CIO St. Joseph’s Health and CORE Board Chair. “By recommending these rules for adoption, NCVHS is helping to improve how payers and providers exchange information related to telehealth, prior authorization, benefit coverage, and value-based payment. Ultimately, patients will benefit from more informed and timely care delivery.” 

NCVHS recommended adoption of the following updated and new operating rules:

Updated Versions of Currently Mandated Operating Rules: 

New Operating Rule:

“CORE Operating Rules are created by and for healthcare stakeholders,” said April Todd, Chief Policy and Research Officer at CAQH. “When the industry works together, we can streamline processes and improve the healthcare experience for everyone.”

To read the NCVHS recommendations, click here.

To learn more about CAQH CORE Operating Rules and other ongoing initiatives, visit