Exploring the New and Updated CAQH CORE Operating Rules
In the ever-evolving landscape of healthcare, continuous improvements in payment and claims processing systems are vital. The new and updated CAQH CORE Operating Rules represent a significant advancement in our ongoing effort to enhance efficiency and ...
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April 30, 2024
Exploring the New and Updated CAQH CORE Operating Rules
March 4, 2024
HHS Recommends CAQH CORE Operating Rules for federal adoption
July 20, 2023
Message from Health Care Claims Subgroup Co-Chairs: Rule Development Update
June 29, 2023
A Message from the CAQH CORE Value-based Payment Co-chairs: Early Progress and Directions
June 26, 2023
Data Strategies for Every Health Plan
June 9, 2023
Breaking Down Barriers: The Impact of EHR Integrations on Healthcare Efficiency and Care Delivery
May 10, 2023
Improving Price Transparency in Healthcare with the No Surprises Act and the CAQH CORE Eligibility & Benefit Operating Rules
April 19, 2023
Three Considerations for Building a Proactive COB Program
February 9, 2023
The Cost of Customization
February 9, 2023
Opportunity: Adopting Operating Rules with Attachment Standards
November 3, 2022
A Message from the CAQH CORE Board Chairs: Support for the Proposed Operating Rules for Federal Mandate
September 22, 2022
What is value-based payment?
July 13, 2022
3 Challenges and Lessons Learned for FHIR Implementations
June 9, 2022
Healthcare Leaders Join the CAQH CORE Board
March 16, 2022
Improving Health Plan Provider Directories
March 7, 2022
Why Automated Credentialing is Imperative for the Dental Industry
March 7, 2022
How Dental Plans Can Improve Provider Data Management
February 15, 2022
Alleviating the Administrative Burden of Credentialing for Dental Practices
January 12, 2022
Will You Meet the NSA Directory Requirements in Time?
September 7, 2021
CAQH CORE Welcomes Two New Board Members
August 9, 2021
CAQH Measures COVID-19 Impact on Healthcare Transaction Volumes
July 29, 2021
AultCare Becomes the First Organization to Earn CORE Recertification
June 30, 2021
Primary Source Verification Protects Patients
June 29, 2021
6 Things to Look for When Evaluating a COB Data Source
May 28, 2021
5 Tips to Launch a Successful Payment Integrity Program
May 12, 2021
Provider Directory Accuracy Is Critical for Patient Well Being
April 7, 2021
Why Provider Credentialing Is a Necessary Hassle and a Vital Safeguard
March 24, 2021
Coordination of Benefits, Explained
February 25, 2021
CAQH CORE Launches New Participant Dashboard
February 8, 2021
Efficient Credentialing Has Never Been More Important for Medicaid Plans
February 5, 2021
February is National Provider Directory Data Improvement Month
February 3, 2021
CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation
January 7, 2021
CAQH Previews Endpoint Directory at Virtual ONC Event
January 7, 2021
CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability
January 7, 2021
CAQH Releases Inaugural Pharmacy Services Index
January 7, 2021
April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020
November 17, 2020
New CAQH Report: Rural Providers Face Disproportionate Administrative Burdens Associated with Credentialing
November 17, 2020
CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation
November 17, 2020
April Todd Discusses Prior Authorization on Change Healthcare Podcast
October 8, 2020
CAQH CORE Shares Initial Findings of Prior Authorization Pilot & Measurement Initiative
October 8, 2020
CAQH Releases Annual Report
October 8, 2020
CAQH Contributes to Industry Study on Rising Healthcare Costs
August 28, 2020
CAQH CORE Presents Prior Authorization Operating Rules for Federal Adoption
August 28, 2020
CAQH Shares Best Practices for Managing Coordination of Benefits in a Crisis
July 29, 2020
How It All Began
July 29, 2020
An Interview with Sorin Davis, Senior Vice President, Industry Relations
June 24, 2020
SSI Group, Availity Achieve Additional CAQH CORE Certifications
June 24, 2020
Re-attestation Critical as Healthcare Organizations Return to Normal
June 24, 2020
Ensuring Accurate Coordination of Benefits During Remote Work
June 24, 2020
CAQH CORE Leads Virtual Discussions on Pressing Industry Issues
May 12, 2020
CAQH Employees Donate iPads to Children’s National Hospital
May 12, 2020
CAQH White Paper: Simplifying Provider Data Management
May 12, 2020
CAQH CORE Welcomes Epic to Its Board of Directors
May 12, 2020
Provider Directories and Access to Care
April 13, 2020
We Are All in This Together
April 13, 2020
Streamlining the CAQH ProView Application Process
April 13, 2020
CAQH ProView: Enhancements in Response to COVID-19
March 10, 2020
CAQH Hosts Third COB Smart Symposium
February 18, 2020
Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure
January 29, 2020
CAQH Releases 2019 Index
January 29, 2020
CAQH CORE White Paper: The Connectivity Conundrum
January 29, 2020
United Healthcare and Optum Earn Phase III CAQH CORE Certification
January 29, 2020
CAQH ProView: A Year in Review
November 22, 2019
CAQH Achieves HITRUST CSF Certification
November 22, 2019
CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories
November 22, 2019
How Unclear Provider Data Contributes to Unexpected Medical Bills
October 28, 2019
Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits
October 28, 2019
Deadline Extended: Exchanging Medical Documentation Survey
October 28, 2019
Industry Collaboration Improves Provider Directories
October 28, 2019
Dental Market Expansion
October 28, 2019
Industry Progress on Improving Prior Authorizations
September 25, 2019
CAQH Presents to National Conference of State Legislators
September 25, 2019
CAQH CORE Comments on Administrative Burdens to HHS and CMS
September 25, 2019
CAQH CORE and HL7 Announce Collaboration
September 25, 2019
Moving Medicaid Plans Beyond Pay and Chase
July 31, 2019
NCQA Finds CAQH Solutions Beneficial in Supporting Accreditation
July 31, 2019
New CAQH CORE White Paper on Automating Prior Authorization
June 26, 2019
Leading Health Plans in Texas Adopt CAQH ProView
May 30, 2019
CAQH CORE Releases Phase V Operating Rules
May 30, 2019
Easing Access to Provider Directory Data
May 30, 2019
5 Opportunities to Fix Attachments
May 30, 2019
Participation in CAQH ProView for Groups Continues to Grow
March 26, 2019
AI Technology is Improving Provider Directories
March 26, 2019
Recommendations to the Senate HELP Committee
March 26, 2019
CAQH CORE Awards 350th CORE Certification
February 27, 2019
Prior Authorization Getting Much Needed Attention
January 30, 2019
Verifying Provider Credentials is Easier than Ever
January 30, 2019
Humana Joins CAQH
January 30, 2019
Collaboration is Improving Healthcare Provider Directories
November 5, 2018
CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process
November 5, 2018
CAQH Offers Solutions Suite to Improve Credentialing Process
September 12, 2018
CAQH CORE Backs Industry Collaboration to Improve Prior Authorization Process
September 10, 2018
Massachusetts Health Plans Select DirectAssure to Improve Provider Directory Accuracy
July 17, 2018
CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security
May 31, 2018
CAQH Named One of the Best Places to Work in Healthcare for Third Consecutive Year
May 31, 2018
New Industry Roadmap Recommends Path Toward Sustainable Provider Data System
March 29, 2018
CAQH CORE Report Highlights Ways to Streamline Value-based Payment Operations
March 28, 2018
Data Quality Improves with DirectAssure Enhancements
December 18, 2017
Phase IV CAQH CORE Certification Opens for Prior Authorization and Other Electronic Transactions
December 18, 2017
CAQH Recognized for Excellence in Health IT by WEDI
December 18, 2017
Health Plan Strategies to Improve Directory Accuracy
October 24, 2017
New On-Demand Webinar: Keys to Improving Your Credentialing Process
October 24, 2017
CAQH Teams with the American Dental Association (ADA) to Simplify Credentialing Process for Dentists
October 24, 2017
CAQH CORE Issue Brief: Why the Industry Needs to Lead the Way in Streamlining Healthcare Business Transactions
August 16, 2017
Improving Provider Directory Accuracy in an Evolving Regulatory Landscape
August 16, 2017
Lessons from UnitedHealthcare and DirectAssure on Improving Provider Directory Accuracy
August 16, 2017
CAQH ProView Updates Enhance Provider Data and Address Industry Needs
August 16, 2017
Article in Group Practice Journal Highlights Provider Benefits of CORE Certification
June 12, 2017
Provider-Owned Health Plans Awarded CORE Certification
June 12, 2017
CAQH Again Named Best Place to Work in Healthcare
June 12, 2017
Now Online: 2016 CAQH Annual Report
June 12, 2017
CAQH Convenes Alliance to Improve Accuracy of Healthcare Provider Data
June 12, 2017
Gwendolyn Lohse Named One of Most Powerful Women in Healthcare IT by Health Data Management
April 5, 2017
CORE Exceeds 300 Certifications Milestone
April 5, 2017
CAQH Provider Directory Solution Demonstrates High Provider Engagement
April 5, 2017
CAQH Launches New Solution to Improve the Provider Credentialing Process
January 31, 2017
Integrating User Feedback to Enhance CAQH ProView
January 31, 2017
New Video Describes Value and Goals of the CORE Certification Program
November 2, 2016
CAQH-Convened Summit Tackles Provider Data Problems with Industry Leaders
October 26, 2016
CAQH CORE Town Hall Highlights Progress of Operating Rules and Opportunities Ahead
August 1, 2016
Health Plan Business Partners Find Value in CAQH CORE Certification
March 8, 2016
CAQH is Simplifying Provider Directory Maintenance with DirectAssure
November 24, 2015
More than 200 CORE Certifications Awarded
August 18, 2015
CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules