Health plans

Section: Solutions
Data Consumption   Provider Messaging   Provider Directory/Provider Data Management   Credentialing   Data Quality
Section: Event CAQH CORE
According to the 2016 CAQH Index Report, industry adoption of the HIPAA mandated ASC X12N v5010X217 278 Prior Authorization (PA) transaction is 18 percent. Significant opportunity exists to increase...
Section: Event CAQH CORE
CAQH CORE is hosting this CAQH CORE Participant call to hear feedback from participants on this approach and to discuss status of initial reviews and findings. We will work with CORE Work Group...
Section: CORE
caqh_core_board_letter_on_hpid_rfi.pdf
Section: Explorations
The Provider Data Action Alliance is an industry-wide group convened in 2017 by CAQH to address the challenges of collecting and maintaining accurate, timely data on healthcare providers. The...
Section: Explorations
On September, 29, 2016, CAQH convened the Provider Data Summit: A Time to Act to address industry-wide issues related to maintaining high-quality provider data. More than 100 industry leaders from...
Section: Explorations
Accurate data on healthcare providers is critical to improving the quality and costs of healthcare delivery. However, collecting and maintaining administrative data has been a longstanding challenge...
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Section: Explorations
Accurate, timely provider data is essential to keep the healthcare system running smoothly. Health plans and providers rely on it to develop directories, pay claims, refer patients to specialists and...
Section: Event CAQH CORE
On April 18, 2017, CAQH CORE held a CORE Participant call to discuss the upcoming testimony CORE will provide to NCVHS on May 3, 2017. The slides are available for review. Please contact core@caqh....
Section: Solutions
The suite of provider data management solutions by CAQH ensures that health plans have the high-quality provider information needed for a range of business uses including credentialing, directories,...

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