Priority Topics

 

As the national operating rule author, CAQH CORE strives to improve the efficiency, accuracy and effectiveness of industry-driven business transactions by working on priority topics.

 

Health Care Claims 

Every day, millions of health care claims are transacted between providers, vendors and payers. Providers across the country have been equipped to manage electronic transmission of the X12N 837 for decades, and for just as long, providers have been burdened with the need to manage unique payer requirements.

Streamlining Claims Management

Join this 30-minute webinar for a preview of the upcoming CAQH CORE Health Care Claims Subgroup. Pete Benziger, CAQH CORE Sr Manager, Bob Bowman, CAQH CORE Interoperability and Standards Principal and Randy Gabel, Sr Director of Revenue Cycle for Ohio Health, will lead a discussion about the impact a health care claims data content operating rule can have on claims management for payers, providers and vendors.

CAQH CORE March Town Hall

Join the CAQH CORE team for an update of current and ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Register today for this Town Hall to engage with CAQH CORE and provide input on how to best drive the industry towards fully digital business operations.

2022 CAQH Index® Findings: A Decade of Progress

Join us as the CAQH Index celebrates its 10-year anniversary! This special report highlights the progress that the industry has made over the last decade automating administrative transactions as well as changes in volume and transaction costs during the second year of COVID.

In 2021, while automation continued to expand and utilization increased as offices re-opened, transaction costs rose as practices were forced to increase salaries to retain and attract new employees and rely on workers who were less experienced and efficient.

CAQH CORE Recertification Webinar

Is your organization CORE-Certified? If so, it may be time for Recertification. CORE-certified entities are required to renew their CORE Certifications every three years on a rolling basis to demonstrate ongoing conformance with operating rules. Recertification supports new market needs, evolving technology, mergers/acquisitions, and system upgrades. Join the CAQH CORE team on the 16th to learn more about:

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