CAQH CORE Announces New National Healthcare Operating Rules

October 2015

CAQH CORE Announces New  National Healthcare Operating Rules Health plans, healthcare providers, and the clearinghouses and vendors that support them, now have national operating rules to improve how they can work together as trading partners. The voluntary operating rules will help streamline the electronic data exchange of four more healthcare business transactions: healthcare claims; prior authorization; employee premium payment; and enrollment and disenrollment in a health plan. CAQH CORE recently announced that the Phase IV CAQH CORE Operating Rules package has been approved and the industry should begin coordinating voluntary implementation. Reaching this milestone is the result of enormous effort by the multi-stakeholder CAQH CORE collaboration, which includes a wide range of public and private entities. Continue reading...

Other News

CAQH CORE Town Hall National Webinar October 22, 2015 | 2:00 PM ET Learn about important industry updates and how they will affect organizations. CAQH CORE Town Hall Calls provide the public with an update on recent CORE activities related to industry development and/or implementation of Federally mandated operating rules. This call is open to all non-CORE and CORE Participants and is for informational purposes only; no voting or decisions will occur.    Register or Learn More

Voluntary CAQH CORE Certification National Webinar with Group Health Cooperative October 27, 2015 | 2:00 PM ET Register for this webinar to learn about CORE Certification and whether it is appropriate for your type of organization. And get an insider look at the experience of a recent CORE-certified entity, Group Health Cooperative, a member-governed, nonprofit health care system that coordinates care and coverage for more than 600,000 residents of Washington and North Idaho. Register or Learn More

CAQH In the News Four Updated HIPAA Transactions Coming by Mid-2016 New Rules for Electronic HIPAA Transactions Approved by CAQH CORE  Employers, Employee Benefit Managers and Health Plans will be Impacted by New National Operating Rules for HIPAA Transactions New Operating Rules Approved for HIPAA Health Data Exchange New National Healthcare Operating Rules Approved for Electronic HIPAA Transactions CAQH: New National Healthcare Operating Rules Approved for Electronic HIPAA Transactions Voluntary Operating Rules Approved for Insurance Transactions New national healthcare operating rules approved for electronic HIPAA transactions Atlantic Information Services, CAQH to Present Complimentary Webinar on Streamlining Healthcare Benefits Coordination Availity earns CAQH CORE Clearinghouse Product Phase III Certification Seal Debunking Myths about Healthcare EFT

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