CORE

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...
Section: CORE
Industry-led, CAQH CORE Participants include healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations. Health plans participating in CAQH...
Section: CORE
  In 2013, CAQH CORE extended its existing multi-stakeholder governance and, in 2015, updated its governing procedures, which can be accessed here. Presented below is the multi-stakeholder CAQH CORE...
Section: CORE
CAQH CORE Body* CAQH CORE Requirements for Rules Approval Level 1: CAQH CORE Subgroups Not addressed in governing procedures, but must occur to ensure consensus building...

Pages