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CAQH_Insights_ClinicalAdministrativeWorkflow-IssueBrief_2023_Final
CAQH Provider Data Dental FAQs
Prior Authorization & Referrals Operating Rules
The Prior Authorization & Referrals Operating Rules standardize key components of the prior authorization process, including attachments sent to support a prior authorization request, closing the gaps in electronic data exchange to move industry towards a …
CORE
CORE Certification Enforcement
CORE Industry Implementation Guides
Blog
AultCare Becomes the First Organization to Earn CORE Recertification
AultCare is the first healthcare organization to earn CORE Recertification for three sets of CAQH CORE Operating Rules, demonstrating its ongoing commitment to streamlining eligibility and benefits, claim status and payment and remittance transactions. To …
Blog
2021 CAQH Index: COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings
CAQH has released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes. Every year, the CAQH Index tracks automation, spending and savings opportunities for administrative …
Blog
Alleviating the Administrative Burden of Credentialing for Dental Practices
Dental provider credentialing, a process most often associated with a dentist contracting with an insurance carrier, can be cumbersome for both dentists and dental plans. One reason is related to slow adoption of automated solutions resulting in continued …
Blog
Why Automated Credentialing is Imperative for the Dental Industry
Automated credentialing, a process in which a provider completes a plan enrollment application electronically, has seen slower adoption in the dental industry. Today, many dental practices are still completing paper-based credentialing applications and …