Article

Section: CORE
Over the years, healthcare industry stakeholders have implemented a multitude of methods connecting applications, systems and networks to exchange administrative and clinical healthcare data. This...
Section: CORE
As the national operating rule author, CAQH CORE strives to improve the efficiency, accuracy, and effectiveness of industry-driven business transactions by working on priority topics.  Additional...
Section: CORE
Prior authorization (PA) began as a way to manage the utilization of healthcare resources. It requires providers to request approval from a health plan before a specific procedure, service,...

Pages