The CAQH Index tracks and reports progress by the healthcare industry in its ongoing transition from manual to electronic administrative transactions.
In its 2014 report, the CAQH Index estimates the proportion of common administrative transactions conducted electronically in 2013 across the healthcare industry, including both health plans and health providers. The CAQH Index collected and analyzed more than four billion transactions from health plans for this purpose. These transactions include:
- Claim Submission
- Eligibility Verification
- Prior Authorization
- Claim Status
- Claim Payment
- Remittance Advice
- Claim Attachments
- Prior Authorization Attachments
The CAQH Index also estimates the potential savings to the healthcare system with greater use of electronic administrative transactions. Its savings estimates draw upon a cost analysis prepared for CAQH by Milliman, one of the world’s largest providers of actuarial and related products and services.
Findings show that the U.S. healthcare system industry could save billions of dollars each year by continuing the shift from manual to electronic administrative transactions.
PRESENTATION: View the 2014 CAQH Index "Adoption Rates and Cost Savings from Electronic Administrative Transactions" presentation from March 17, 2015.
Use the CAQH Index Savings Calculator below to estimate potential cost savings for your own organization.
Download the 2013 CAQH Index report.