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CORE
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CAQH CORE Participant Calendar
Description
Section: CORE
The Complete Set of Phase III CAQH CORE EFT & ERA Operating Rules, developed by CORE Participants with industry input, was approved in the final CORE vote in June 2012 as the final step in the...
Section: CORE
In December 2011, CMS issued a notice adopting CMS-0032-IFC: Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions as...
Section: CORE
In December 2011, CMS issued a notice adopting CMS-0032-IFC: Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions as...
Section: CORE
Keeping Up with the CORE-required Maximum Enrollment Data Sets
If you are tasked with implementing the CAQH CORE 380: EFT Enrollment Data Rule and the CAQH CORE 382: ERA Enrollment Data Rule, part...
Section: CORE
Operating Rules Status | Immediate Action Required | Key Dates | Role of CAQH CORE | Getting Involved with CAQH CORE | Education and Outreach | Implementation Resources | ...
Section: About
CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of...
Section: CORE
A CAQH study, conducted by IBM Global Business Services, assessed results achieved by six CORE-certified health plans that represent 33 million covered lives (Aetna, AultCare, BlueCross BlueShield of...
Section: CORE
*CAQH CORE Body
CAQH CORE Requirements for Rules Approval
Level 1:
CAQH CORE Subgroups
Not addressed in governing procedures, but must occur to ensure consensus building...
Section: Solutions
Increasing adoption of Electronic Funds Transfer (EFT) to replace paper checks continues to be challenging for many health and dental plans. Trying to enroll all healthcare providers – especially...
Section: Solutions
Difficulties associated with the coordination of benefits process - from manual processes to prolonged and error-prone payment cycles - make the healthcare system cumbersome for patients with...
