CAQH CORE Connectivity establishes key connectivity, security and authentication requirements including acknowledgements, error handling, and the CAQH CORE Connectivity “Safe Harbor” creating a national connectivity mechanism that trading partners can be assured will be supported when healthcare information is exchanged.
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The Attributed Patient Roster Operating Rules establish consistent expectations for the electronic exchange of a roster of patients attributed to a provider under a value-based contract.
The Eligibility & Benefits Operating Rules establish consistent requirements for the exchange information regarding a patient’s insurance coverage and benefits between health plans and providers. A set of these rules are federally mandated—more information on all CAQH CORE federally mandated rules can be found here.
The Premium Payment Operating Rules establish consistent infrastructure and processes for transmitting information relating to payments.
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 share their professional and practice data with dental plans. Dentists no longer need to complete different applications for credentialing, provider directories and other data needs.
With the participation of 70,000 dentists and the nation's leading dental plans, CAQH ProView is the trusted source for accurate and up-to-date credentialing information.
The following CAQH ProView® (formerly Universal Provider Datasource (“UPD”)) Terms of Service (the “CAQH ProView Terms”) are applicable between the Council for Affordable Quality Healthcare, Inc.
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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.
Streamline Your Credentialing Process
CAQH ProView® is the trusted solution for capturing and sharing healthcare provider self-reported information.
Today, almost 1,000 health plans, hospitals and provider groups use CAQH ProView to streamline credentialing, improve network provider directories, and speed claims processing and adjudication.