Updated Version of CORE Code Combinations Available for Implementation

Updated Version Now Available: October 2015 CORE Code Combinations v3.2.1 - Includes Adjustments for the Latest Compliance-based Review  The October 2015 updated version of the CORE-required Code Combinations for the CORE-defined Business Scenarios (CORE Code Combinations) is now available for use with the CAQH CORE 360: Uniform Use of CARCs and RARCs Rule. This version includes Compliance-based Adjustments as a result of code list updates published on July 1, 2015.   The CAQH CORE 360 Rule enables more uniform use of the Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) by focusing on a minimum set of common or problematic Business Scenarios, along with a maximum specified set of code combinations for each of these Scenarios. Per CAQH CORE policy, the CORE Code Combinations must be updated by the CAQH CORE Code Combinations Task Group to both: Align with the current published CARC and RARC lists which are maintained by code committees and updated at least three times per year. (Compliance-based Reviews); and Address ongoing and evolving industry business needs on an annual basis. (Market-based Reviews). A marked-up version of the October 2015 CORE Code Combinations showing the adjustments between v.3.2.0 and v.3.2.1 is available HERE. The Change Log in the second tab of the CORE Code Combinations provides a list of all adjustments made to the CORE Code Combinations.    For more information visit the Ongoing Maintenance of the CORE Code Combinations for CAQH CORE 360 Rule Webpage, a "one stop shop" for all the tools and information you need to comply with the CAQH CORE 360 Rule and the ongoing code combinations maintenance process. This website page includes both update summaries and links to more details.   In Q4 2015, the CAQH CORE Code Combinations Task Group will launch its next Compliance-based Review to review updates from the code list authors that are scheduled for publication in November 2015. The Task Group will also launch its Market-based Review of the potential new CORE-defined Business Scenarios submitted via the Industry-wide CAQH CORE 2014 Market-based Adjustments Form.   CAQH CORE Participants are encouraged to get involved with the Task Group. Contact core@caqh.org for information on joining the Task Group or becoming a CAQH CORE Participating Organization.   Please contact core@caqh.org with any additional questions.