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...
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...
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 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...
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...
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...
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 employees have come together—virtually—to show their support for healthcare workers on the frontlines of COVID-19. Responding to Children’s National Hospital’s urgent need for iPads compatible...
Our nation’s healthcare system is being tested like never before. In the fight against COVID 19, healthcare workers are putting their lives on the line around the clock. Health plans are doing...
At CAQH, we continuously search for new ways to streamline administrative processes for providers, health plans and other participating organizations. To simplify how providers complete their initial...
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