CORE Fees
Fees are a one-time cost for each Phase of certification*
| Health Plans | |
| Below $75 million in net annual revenue: | $4,000 |
| $75 million and above in net annual revenue: | $6,000 |
| Clearinghouses | |
| Below $75 million in net annual revenue: | $4,000 |
| EHNAC HNAP-EHN accredited | - apply 10% ($400) discount |
| $75 million and above in net annual revenue: | $6,000 |
| EHNAC HNAP-EHN accredited | - apply 10% ($600) discount |
| Vendors | |
| Below $75 million in net annual revenue: | $4,000 |
| $75 million and above in net annual revenue: | $6,000 |
| Providers | |
| Up to $1 billion in net annual revenue: | $500 |
| $1 billion and above in net annual revenue: | $1,500 |
| Endorsers | |
| (Only entities that do not create, transmit or use eligibility and/or claim status data) | No Fee |
NOTES:
- There is no charge to Federal or State government entities to receive the CORE Seal.
- There is no charge to CAQH member plans to receive the CORE Seal.
- *This fee is a one-time cost for each Phase of certification, unless an entity becomes decertified or if major changes to the rules are approved by a full CORE vote (Reference CORE: Eligibility and Benefits Certification Policy).
- Per the CORE Certification Policy, vendor products, and not entire vendor organizations, receive the Certification Seal.
- The CORE Certification Seal fee does not include the fee for CORE certification testing, which is standard for each stakeholder type. The CAQH website - www.caqh.org – can be accessed for a list of CORE-authorized testing companies and their associated testing fees.
- CORE participation and CORE certification are two separate activities. If you are interested in participating in CORE, review the CORE Participant Application. CORE participants can assist with writing the rules/policies in addition to voting on the next phase of rules.
- Any Clearinghouse/EHN entity actively seeking CORE certification as of June 1, 2009 or later that has already achieved EHNAC HNAP-EHN accreditation can take advantage of the partnership program discount. The Clearinghouse/EHN will indicate that it holds a current EHNAC HNAP-EHN accreditation when submitting a CORE Seal application. (CAQH will confirm EHNAC-EHN accreditation status independently.) View more information about EHNAC HNAP-EHN accreditation at www.ehnac.org.








