UPDATE: 20 Healthcare Organizations Set to Achieve CAQH CORE Phase II Rules ... PR Newswire (press release)
/PRNewswire/ -- CAQH® announced today that twenty health plans, clearinghouses, providers and health information technology vendors have achieved or will certify their implementation of the CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase II rules. Recently, six organizations joined CORE as participants, three others have endorsed and another four achieved Phase I certification.This accomplishment is the result of the widespread voluntary adoption of business rules being developed by CORE. The CORE rules are streamlining the exchange of administrative data, which is resulting in improved access to coverage and financial information by providers at the point-of-care. Certified organizations complete a testing process to confirm that their systems or products comply with both the CORE infrastructure and data content rules.
The Phase II rules address requirements for electronic connectivity and digital certificates, patient identification, real-time claims status and reporting of year-to-date deductibles. Each phase is designed to build upon earlier phases and is aligned with Federal interoperability efforts.