CAQH CORE Announces Launch of Market-based Review for CORE Code Combinations

2013 Market-based Review of CORE Code Combinations   The CAQH® Committee on Operating Rules for Information Exchange (CORE®) today announced the launch of the 2013 Market-based Review.  As per the CAQH CORE Code Combinations Maintenance Process, the CAQH CORE Code Combinations Task Group (CCTG) conducts two types of review and adjustment to the CORE Code Combinations: Compliance-based Reviews and Market-based Reviews. Market-based Reviews occur once a year and for 2013 issuance will consider industry submissions addressing additions and removals to the existing CORE-required Code Combinations for existing CORE-defined Business Scenarios. To satisfy the goals of the CAQH CORE Uniform Use of CARCs and RARCs (835) Rule to support the rule's maintenance requirements and to ensure that the Market-based Review process addresses evolving industry business needs for using the CORE Code Combinations, the CAQH CORE Code Combinations Task Group (CCTG) created the components of the online submission form  The form is being used to collect the necessary input from the industry so thoughtful maintenance can occur.  This document outlines the basic instructions regarding how an entity needs to use the online submission form to submit its code combination recommendations. DUE DATE: This Market-based Review is to be completed by 5pm ET on 02/14/2014. WHO CAN SUBMIT: All CORE Participants plus non-CORE Participants that create, use, or transmit HIPAA-covered transactions may submit potential Market-based adjustments via the online Market-based submission form (MBR Form).   GETTING STARTED: Eligible entities wishing to participate in the 2013 Market-based Review can begin by completing Part 1 of the MBR Form by clicking the link HERE.     Detailed Instructions for the MBR Form are included to assist in the completion of the MBR Form.  If you need additional assistance in navigating the Market-based Review Form or have any questions regarding the 2013 MBR please emailcore@caqh.org.   Additionally, CAQH CORE education sessions will be offered announcing and explaining the MBR submission process. Thank you, CAQH CORE