- 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
COB Smart is adopted nationwide. Participating organizations include: AmeriHealth Caritas Anthem Arkansas BlueCross BlueShield Aultcare Blue Cross Blue Shield of Alabama Blue Cross Blue Shield...
Aetna AgeWell New York American Hearing Benefits American Specialty Health Beacon Health Options Beacon Health Solutions Blue Cross and Blue Shield of Minnesota Blue Cross Blue Shield of...
Aetna American Specialty Health Amerigroup Maryland Anthem, Inc. Anthem California Anthem Colorado Anthem Connecticut Anthem Indiana Anthem Kentucky Anthem Maine Anthem Missouri Anthem...
CAQH CORE certifies and awards CORE Certification Seals to entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules. CORE Certification means...
CAQH members are leading the industry -- driving solutions that are fundamentally changing the direction of healthcare. They are defining how the industry does business today and in the future...
Almost 1,000 of the nation's leading health plans, hospitals and healthcare organizations are demonstrating their commitment to high quality provider data and simplifying provider data collection by...
Industry-led, CAQH CORE Participants include healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations. Health plans participating in CAQH...
In 2013, CAQH CORE extended its existing multi-stakeholder governance and, in 2015, updated its governing procedures, which can be accessed here. Presented below is the multi-stakeholder CAQH CORE...