My organization is a HIPAA-covered Health Plan. Which CAQH CORE Prior Authorization & Referrals Operating Rule requirements does my organization have to test for in order to achieve CORE Certification on the CAQH CORE Prior Authorization & Referrals Opera

A Health Plan seeking CORE Certification on Prior Authorization & Referrals Operating Rules must undergo CORE Certification Testing in accordance with the Prior Authorization & Referrals CAQH CORE Certification Test Suite for:

How does my organization determine the appropriate CAQH CORE stakeholder type category when applying for the Prior Authorization & Referrals Certification Seal?

Organizations that can obtain the Prior Authorization & Referrals CORE Certification Seal are categorized into four CORE Certification stakeholder types: Providers, Health Plans, Clearinghouses, and Vendors.

My organization is a Health Plan. Which rule requirements does my organization have to test for to achieve CORE Certification on the CAQH CORE Prior Authorization & Referrals Operating Rule set?

A Health Plan seeking CORE Certification on Prior Authorization & Referrals Operating Rules must undergo CORE Certification Testing in accordance with the Prior Authorization & Referrals CAQH CORE Certification Test Suite for

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