Attributed Patient Rosters are used by health plans, providers and employers to share lists of patients attributed to a provider under a value-based contract. The CAQH CORE Attributed Patient Roster Operating Rules establish consistent expectations for the electronic exchange of attributed patient rosters among stakeholders at predictable intervals by supporting consistent data content, infrastructure and a connectivity safe harbor using the X12 005010X318 Member Plan Reporting (834) Transaction.
Landing page that describes or introduces a solution or initiative
The CAQH CORE Eligibility & Benefits Operating Rules enhance the exchange of eligibility information between health plans and provider through consistent infrastructure and data content requirements including the exchange of patient financial information.
The Premium Payment (820) transaction provides the format for transmitting information relating to payments. The CAQH CORE Premium Payment Operating Rules support consistent infrastructure and a connectivity safe harbor across the industry.
Complete Set of CAQH CORE Premium Payment Operating Rules
The American Dental Association (ADA) and CAQH are working together to make it easier for dentists to enter and share their professional and practice data with dental plans and other participating organizations by utilizing CAQH ProView®.
Dentists no longer need to complete different credentialing applications and send documentation to dental plans for credentialing, provider directories and other data needs. Plans participating in CAQH ProView can eliminate the resource-intensive process of accepting that information manually, then entering it into their own systems.
|What is Changing?|
Effective May 22, 2018, CAQH will be updating the CAQH ProView Terms of Service. You can view the entire revised Terms of Service agreement below.
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If you are an EnrollHub user and have any questions, please contact us with the information below:
Contact for Providers
CAQH Provider Help Desk:
Help Desk Hours:
7am-9pm EST Monday - Thursday
7am-7pm EST Friday
Contact for Participating Organizations
Contact us at email@example.com
SanctionsTrack works in conjunction with CAQH ProView to give your organization the information needed to maintain a high-quality provider network and ensure contracting confidence.
CAQH ProView® is the trusted electronic solution and industry standard for capturing and sharing healthcare provider self-reported information.
CAQH ProView is helping simplify additional administrative processes requiring demographic and professional provider data. Today, almost 1,000 health plans, hospitals and providers groups use CAQH ProView to streamline credentialing, improve network provider directories, and speed claims processing and adjudication.