CORE

Section: CORE
The Complete Set of Phase III CAQH CORE EFT & ERA Operating Rules, developed by CORE Participants with industry input, was approved in the final CORE vote in June 2012 as the final step in the...
Section: CORE
In December 2011, CMS issued a notice adopting CMS-0032-IFC: Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions as...
Section: CORE
In December 2011, CMS issued a notice adopting CMS-0032-IFC: Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions as...
Section: CORE
Keeping Up with the CORE-required Maximum Enrollment Data Sets If you are tasked with implementing the CAQH CORE 380: EFT Enrollment Data Rule and the CAQH CORE 382: ERA Enrollment Data Rule, part...
Section: CORE
Overview Thank you for your interest in voluntary CORE Certification. CAQH CORE certifies and awards CORE Certification Seals to entities and products/services that create, transmit or use the...
Section: CORE
Operating Rules Status  |   CAQH CORE EFT & ERA Operating Rules  |   Key Dates Coordination with Financial Services Industry  |   Medicare Implementation  |   Role of CAQH CORE Getting Involved...
Section: CORE
CAQH awards CORE Certification Seals to entities that create, transmit or use the healthcare administrative and financial transactions addressed by the CAQH CORE Operating Rules. CORE Certification...
Section: CORE
Operating Rules Status  |   Immediate Action Required  |   Key Dates  |   Role of CAQH CORE  |  Getting Involved with CAQH CORE  |   Education and Outreach  |   Implementation Resources  |  ...
Section: CORE
A CAQH study, conducted by IBM Global Business Services, assessed results achieved by six CORE-certified health plans that represent 33 million covered lives (Aetna, AultCare, BlueCross BlueShield of...
Section: CORE
The Patient Protection and Affordable Care Act (ACA), Section 1104 “…establishes new requirements for administrative transactions that will improve the utility of the existing HIPAA transactions and...

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