Health plans

Section: Event CAQH CORE

Join the CAQH CORE team for an update of current and ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Topics will include: A demonstration of the new...

CAQH Hosts Third COB Smart Symposium

Section: Newsletter Article

Recently, representatives from health plans across the country convened in Washington DC for the third COB Smart Symposium. The event represents a rare opportunity for thought leaders to meet in...

Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

Section: Newsletter Article

Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has joined other national health benefits companies in the effort to improve the accuracy of health care provider...

CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

Section: Newsletter Article

CAQH CORE has voted to set two-day time limits on how quickly health plans must request additional supporting information from providers and make final determinations on prior authorization requests...

X12 and CAQH CORE Webinar Series: Introduction to the 278 Transaction, Standard and Operating Rules

Section: Event CAQH CORE

The ASC X12N Health Care Services Review – Request for Review and Response (278) is a paired transaction set. This transaction set is also known informally by other names, such as Referral or Prior...

New CAQH Index Highlights Industry Cost Savings

Section: Newsletter Article

CAQH has released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated with administrative transactions through automation. The...

CAQH CORE White Paper: The Connectivity Conundrum

Section: Newsletter Article

Over the years, healthcare industry stakeholders have implemented a multitude of methods connecting applications, systems and networks to exchange administrative and clinical healthcare data. This...

CAQH ProView: A Year in Review

Section: Newsletter Article

Last year, CAQH implemented several enhancements to CAQH ProView, many of which were inspired by feedback we have received by users. Here are a few highlights: The platform now automatically...

United Healthcare and Optum Earn Phase III CAQH CORE Certification

Section: Newsletter Article

Two of the nation’s largest healthcare organizations have earned Phase III CAQH CORE certification in recognition of their commitment to streamlining the electronic funds transfer (EFT) and...

Upcoming Webinars: Improving Provider Directory Data

Section: Newsletter Article

In recognition of National Provider Directory Data Improvement Month, CAQH will host a series of several webinars for small provider networks, Medicare Advantage plans and Medicaid plans to share...

CAQH CORE Participant Calendar

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