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CAQH CORE Participating Organizations help ensure that operating rules continue to meet evolving business needs, by engaging in the rule development process and maintenance of existing operating...
CAQH CORE Participation is open to any interested healthcare stakeholder, including health plans, providers, technology companies, government entities, trade associations, vendors and standard-...
Keeping Up with the CORE Code Combinations If you have been tasked with implementing CAQH CORE 360: Uniform Use of CARCs and RARCs (835) Rule, part of the Affordable Care Act (ACA)-mandated EFT...
Administrative functions are a necessary component of the business of healthcare to ensure that consumers can access quality care and that providers are compensated for delivering that care. However...