Drawing on up-to-date coverage information on 225 million members hosted in the CAQH Member Data Portal, CAQH helps healthcare payers improve payment integrity, streamline operations and pay claims correctly the first time.
The CAQH registry of coverage information on 225 million members is a one-of-a-kind resource that provides healthcare payers actionable insights and improves coordination of benefits, eligibility determinations, services and operations.
Every year, health plans lose hundreds of millions of dollars due to erroneous payments and ineffective recovery programs. CAQH is helping public and commercial payers exchange accurate and up-to-date coverage data and overcome this challenge.
CAQH member data solutions help Medicaid programs streamline eligibility and redetermination, improve enrollee services, automate operations and lower costs.