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THE PHASE II RULES

 

CORE Phase II
Scope and Rules

 

For questions or to learn how to provide feedback on draft rules, contact CAQH.


CORE Overview Presentation


CORE Provider Presentation

CORE Endorsement Application Process

Instructions

Entities that do not use, create, or transmit eligibility data* can demonstrate their support for CORE’s mission and its rules by signing the CORE Pledge, and applying for and using the CORE Phase I Endorser Seal. Entities seeking the CORE Phase I Endorser Seal should complete the following steps:

  1. Obtain and review the CORE Phase I Rules and Policies Version 1.0.0.


  2. Obtain and review the CORE 102: Certification Policy Version 1.0.0.


  3. Obtain, review and sign the CORE 101: Pledge Version 1.0.0.


  4. Obtain and complete the CORE Phase I Seal Application.


  5. Submit the signed CORE 101: Pledge Version 1.0.0 with the completed CORE Phase I Seal Application to:
    CORE Endorser
    CAQH, 601 Pennsylvania Avenue, NW
    South Building, Suite 500
    Washington, DC 20004

CORE Phase I Certification/Endorsement Terms and Conditions

  • CORE Phase I Endorser status is valid for CORE Phase I Rules. Entities will need to apply for a CORE Endorser Seal for each new phase of CORE rules they desire to support, including each substantive change made to CORE Phase I and additional Phase rules.

  • There is no fee required to apply for and use the CORE Phase I Endorser Seal.

  • CORE will inform each CORE Phase I Endorser Seal applicant of its queue status at the time the application is received.

  • Upon receiving a CORE Phase I Endorser Seal application from an entity, CORE will have a maximum of 20 business days to complete its assessment of the application and respond to the applicant with a clear response of approval or need for clarification.

  • A final decision will be made by CORE in 30 business days, unless there are extenuating circumstances. If so, CORE will notify the applicant about the reason for the assessment extension.

  • CORE will grant an organization its CORE Phase I Endorser Seal following the positive completion of the application review process.

  • After receiving a CORE Phase I Endorser Seal, the entity may market itself as a CORE Endorser.

  • Entities receiving the CORE Phase I Endorser Seal will be promoted in CORE marketing materials and on the CAQH website.


* Only entities that use, create, or transmit eligibility data are eligible for CORE certification. Such entities should refer to the CORE Phase I Certification: A Step-By-Step Process for more information about becoming COREcertified.

Questions: Contact CAQH at (202) 861-6380 or core@caqh.org