My organization is a HIPAA-covered Health Plan. Which CAQH CORE Health Care Claims Operating Rule requirements does my organization have to test for in order to achieve CORE Certification on CAQH CORE Health Care Claims Operating Rule set?

A Health Plan seeking CORE Certification on the CAQH CORE Health Care Claims Operating Rules must undergo CORE Certification Testing in accordance with the Health Care Claims CAQH CORE Certification Test Suite for:

How does my organization determine the appropriate CAQH CORE stakeholder type category when applying for the Health Care Claims CORE Certification Seal?

Organizations that can obtain the Health Care Claims CORE Certification Seal are categorized into four CORE Certification stakeholder types: Providers, Health Plans, Clearinghouses, and Vendors.

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