- 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
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...
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...
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. These changes include...
You acknowledge that a large volume of information is available in our public posting areas and that people participating in such areas occasionally make statements, whether intentionally or...
Increasing adoption of electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment continues to challenge healthcare organizations. EnrollHub is a CAQH Solution that simplifies...
Comprehensive and ongoing monitoring of healthcare provider sanctions is critical to having a reliable provider network. The Department of Health and Human Services, the Office of the Inspector...
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...
CAQH ProView® is the trusted electronic solution and industry standard for capturing and sharing healthcare provider self-reported information. Today, more than 1.6 million physicians and other...
Mission Drive the creation and adoption of healthcare operating rules that support standards, accelerate interoperability, and align administrative and clinical activities among providers, payers...