Health plans

Section: Event CAQH CORE
Register for this webinar to understand how pursuing CORE Certification can ensure your alignment with the CAQH CORE Operating Rules, many of which are federally mandated. Highlights will include...
Section: Event CAQH CORE
CAQH CORE Participating Organizations are invited to join CAQH CORE leadership for a discussion on 2020 goals and priority initiatives. Topics covered will include:    An update on the status of the...
Section: Event Explorations
The cost of manual healthcare administrative activities continues to be a burden for plans, providers and vendors, but the industry has also made progress in a number of areas. Join the CAQH Index...
Section: CORE
As the national operating rule author, CAQH CORE strives to improve the efficiency, accuracy, and effectiveness of industry-driven business transactions by working on priority topics.  Additional...
Section: CORE
Prior authorization (PA) began as a way to manage the utilization of healthcare resources. It requires providers to request approval from a health plan before a specific procedure, service,...
Section: Event Solutions
How will coordination of benefits (COB) impact the future of healthcare delivery? More states are expanding Medicaid, the ACA is evolving, and member experiences are more critical than ever to your...

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