- About CAQH CORE
- Operating Rules
- New Operating Rule Structure
- Eligibility & Benefits
- Claim Status
- Payment & Remittance
- Prior Authorization & Referrals
- Health Care Claims
- Benefit Enrollment
- Premium Payment
- Mandated Operating Rules
- CORE Certification
- Priority Topics
- Join CAQH CORE
- Resource Library
- CAQH ProView
- CAQH ProView for Groups
- CAQH ProView - Dental
- Provider Directory - DirectAssure
- Credentialing Solutions Suite
- COB Smart
This set of CAQH CORE Operating Rules focuses on standardizing components of the prior authorization process, closing gaps in electronic data exchange to move the industry towards a more fully...
EFFECTIVE DATE: February 16, 2020 1. CAQH SITES AND SERVICES The Council for Affordable Quality Healthcare, Inc. (“CAQH”) is committed to helping to reduce healthcare administrative burdens, which...
What is EnrollHub? EnrollHub is an easy-to-use enrollment tool that enables healthcare providers (including dentists) to use a single, secure on-line process to sign up for electronic payments with...
COB Smart® gives clearinghouses access to the most complete source of information on individuals with multiple coverage and provides insight into primacy, which helps providers and clearinghouses...
CAQH GENERAL TERMS OF SERVICE EFFECTIVE DATE: March 2, 2015 The Council for Affordable Quality Healthcare (“CAQH”) is a non-profit organization dedicated to the simplification of the...
CAQH ProView®, the trusted source and industry standard for self-reported provider data, is used by more than 1.6 million healthcare providers. CAQH ProView continues to be the premier credentialing...
There are no 2017 CAQH Conference details available at this time. CAQH offers webinars throughout the year. To learn more, visit the Events page.
Robin J. Thomashauer President Robin Thomashauer is the president of CAQH, a non-profit alliance that is the leader in creating shared initiatives to streamline the business of healthcare. She has...
The CAQH Index, is an ongoing measure of progress, and it becomes increasingly reliable, useful, and actionable as more organizations contribute data to the effort. By participating as a data...
The CAQH Index is an ongoing measure of progress, and it becomes increasingly reliable, useful, and actionable as more organizations contribute data to the effort. By participating as a data...