CAQH announces a new Multi-Plan data quality initiative – read the Issue Brief
CAQH announces a new Multi-Plan data quality initiative – read the Issue Brief
CAQH collaborates with health plans, providers and related organizations to make the business of healthcare more streamlined and efficient.
CAQH enables 1,000 health plans, 2 million providers and other entities connect, exchange information and operate more efficiently. CAQH Solutions and CAQH CORE bring the industry together to make sharing business information more automated and predictable. CAQH Insights researches opportunities to reduce manual processes in healthcare administration.
Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes.
Since its formation, the Committee on Operating Rules for Information Exchange (CORE) has developed eight sets of operating rules to streamline transactions and remove cost and complexity from the healthcare ecosystem. Four of these rule sets — which address eligibility and…
As representatives of healthcare business services companies, provider organizations, health plans, and associations, we spend time optimizing data transmission workflows to improve healthcare administration in our day-to-day jobs. Within the health care claims processing landscape, efficiency…
Background and Prioritization of Value-based Payments
The CAQH CORE Value-based Payment (VBP) Subgroup launched on April 27, and recently had its third meeting on June 8, 2023. As co-chairs of this important initiative, we’re pleased to share more about the rule development opportunities…
