CORE

Section: CORE
Established in 2005, CAQH CORE is a multi-stakeholder collaboration of more than 120 organizations –providers, health plans, vendors, government agencies, and standard-setting bodies – developing...
Section: CORE
The Committee on Operating Rules for Information Exchange (CORE) is a multi-stakeholder group committed to streamlining the business side of healthcare. Organized by CAQH, CORE is responsible for...
Section: CORE
Mission Drive the creation and adoption of healthcare operating rules that support standards, accelerate interoperability, and align administrative and clinical activities among providers, payers...
Section: CORE
The CAQH CORE Payment & Remittance Operating Rule Set addresses a range of operating rule requirements for the HIPAA-mandated EFT and ERA transactions including streamlining provider enrollment...
Section: CORE
The CAQH CORE Claim Status Operating Rules enhance the exchange of claim status information between health plans and provider through consistent infrastructure including requirements that allow...
Section: CORE
The CAQH CORE Eligibility & Benefits Operating Rules enhance the exchange of eligibility information between health plans and provider through consistent infrastructure and data content...
Section: CORE
Keeping Up with the CORE-required Maximum Enrollment Data Sets If you are tasked with implementing the EFT & ERA Enrollment Data Rules, part of the Affordable Care Act (ACA)-mandated CAQH CORE...
Section: CORE
Overview CAQH CORE certifies and awards CORE Certification Seals to entities and products/services that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating...
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...

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