Take the Next Step in Administrative Efficiency: Phase V CAQH CORE Prior Authorization Operating Rules

Learn about the CAQH CORE vision and approach for standardizing and automating the prior authorization (PA) process. The Phase V CAQH CORE Operating Rules address needed data content in the PA transaction and greater consistency across other modes of PA submissions. What will you learn?

• Phase V CAQH CORE Prior Authorization Operating Rule requirements in detail. 
• Next steps as you consider whether implementation is right for your organization. 
• How to engage in additional industry efforts to improve the Prior Authorization process; including pilots, work flows, and final determination.