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Member Data
CAQH Member Data Solutions enable healthcare payers to improve payment integrity, increase cost avoidance, streamline operations and pay claims correctly the first time.

Prospective Coordination of Benefits

For decades, health plans have attempted to identify incorrect payments and recover the costs after the claims were paid.  This process is costly, ineffective and inefficient for plans, providers and members.  Leveraging a registry of member data updated weekly by every national health plan, CAQH has changed this paradigm and made coordination of benefits prospective, cost effective and precise.

How Prospective COB Drives Payment Integrity:

Custom Data Solutions

CAQH custom member data solutions enable healthcare payers and provider organizations to improve forecasting, streamline administrative processes, enhance payment integrity and determine eligibility for government programs.