Health plans

SSI Group, Availity Achieve Additional CAQH CORE Certifications

Section: Newsletter Article

SSI Group and Availity, two leading revenue cycle management companies, are the latest organizations to achieve new CAQH CORE Certifications. Both are now CAQH CORE-certified for Prior Authorization...

Ensuring Accurate Coordination of Benefits During Remote Work

Section: Newsletter Article

Managing coordination of benefits (COB) is challenging for many health plans, but Medicaid plans face among the greatest obstacles. For example, Medicaid beneficiaries often have multiple breaks in...

Re-attestation Critical as Healthcare Organizations Return to Normal

Section: Newsletter Article

Now that states have started the process of reopening and our healthcare system is beginning to return to normal operations, this is an ideal time for providers to make sure their professional and...

CAQH CORE Leads Virtual Discussions on Pressing Industry Issues

Section: Newsletter Article

CAQH CORE is hosting a series of interactive webinars to give healthcare leaders an opportunity to engage and collaborate during this time of social distancing. A June 23rd webinar featured CAQH...

Enhancing Industry Interoperability: CAQH CORE Connectivity Operating Rules

Section: Event CAQH CORE

Connectivity is essential for successful interoperability as it enables the transport of information to support data exchange. To address the industry’s need to align on a common set of communication...

COB Smart - Request a Demo

Section: Solutions

Benefit Enrollment Operating Rules

Section: CORE

The Benefit Enrollment transaction (834) is used by employers, as well as unions, government agencies or insurance agencies, to enroll members in a healthcare benefit plan. The CAQH CORE Benefit...

Provider Directories and Access to Care

Section: Newsletter Article

For years, inaccurate provider directory data has been a concern for the healthcare industry - causing frustration for health plans and providers, and potentially creating barriers to care. As CAQH...

CAQH White Paper: Simplifying Provider Data Management

Section: Newsletter Article

Provider data drives the most fundamental processes in the healthcare system. The industry uses provider data to connect patients with healthcare providers, license practitioners, exchange...

CAQH CORE Welcomes Epic to Its Board of Directors

Section: Newsletter Article

Epic, an industry-leading software provider, has become the newest member of the CAQH CORE Board. Founded in 1979, Epic now handles medical records for more than 250 million people worldwide through...

CAQH CORE Participant Calendar

Health plans

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