CAQH works with health plans, state agencies and other organizations to leverage data to address and improve upon existing processes, such as provider directories, provider data management systems, payment integrity and third-party liability initiatives.
We enable plans to:
- Do more with their own data
- Deliver additional data that adds value
- Or help analyze their data and obtain actionable insights
The result is improved health equity, network adequacy, referral management, member matching, data quality and more. We are focused on creating solutions that deliver the greatest insights – from descriptive analytics that show what has happened to prescriptive analytics, which show how to make something happen.