2014 Market-based Review of CORE Code Combinations will Launch November 26, 2014

Advance Notice: 2014 Market-based Review of CORE Code Combinations On November 26, 2014, the CAQH® Committee on Operating Rules for Information Exchange (CORE®) will launch the 2014 Market-based Review (MBR) of theCORE-required Code Combinations for the CORE-defined Business Scenarios. Per the established CAQH CORE Code Combinations Maintenance Process, the CAQH CORE Code Combinations Task Group (CCTG) conducts two types of reviews and adjustments:  Compliance-based Reviews occur three times per year and only consider updates to the published CARC and RARC lists since the last version of theCORE Code Combinations. Market-based Reviews occur once per year and enable the industry to make adjustments to the CORE Code Combinations to address ongoing and evolving business needs. SCOPE OF THE 2014 MBR The 2014 MBR will consider adjustments to the existing four CORE-defined Business Scenarios and the potential addition of new CORE-defined Business Scenarios. Potential industry submissions include:  Code additions, removals, and relocations to code combinations in theexisting CORE-defined Business Scenarios. Requests for potential new CORE-defined Business Scenarios. Code combinations for association with the requested new CORE-defined Business Scenarios. INDUSTRY-WIDE 2014 MBR SUBMISSION PERIOD To satisfy the CAQH CORE 360: Uniform Use of CARCs and RARCs (835) Rulegoal to support maintenance requirements and ensure that the MBR process addresses evolving industry business needs, the CCTG created the components of the online 2014 MBR Submission Form. The form will be used to collect the necessary input from the industry so thoughtful maintenance can occur.  Submission Period:  The 2014 MBR Submission Form will open on Wednesday, 11/26/14. Responses to the Market-based Review must be received by 5pm ET onMonday, 01/26/15. Who Can Submit:  The Submission Period is open to all applicable industry entities. All CORE Participants, plus non-CORE Participants that create, use, or transmit HIPAA-covered transactions, may submit potential Market-based adjustments via the online 2014 MBR Submission Form. A link to the online submission form will be provided in the formal launch announcement, along with detailed instructions to assist respondents in completing the form. Additionally, CAQH CORE will announce education sessions that will explain the MBR submission process. Please do not hesitate to contact core@caqh.org with any additional questions.