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Aetna and WellPoint Achieve CORE Phase II Certification
Date:12/28/2009

WASHINGTON, Dec. 28 /PRNewswire/ -- CAQH® announced today that Aetna and WellPoint, together serving over 50 million members, are the first national health plans to earn certification for electronically exchanging administrative data using the CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase II rules.

Aetna and WellPoint are active participants in the ongoing development of the CORE rules, which represent an all-payer solution enabling improved electronic provider access to patient insurance information before or at the time of service. Achieving CORE Phase II certification means providers working with these plans can access a richer set of consistent and accurate electronic administrative data, such as eligibility, benefits, and patient financial information. The Phase II rules also enable improved access to claims status, which was not included in Phase I.

"The CORE Phase II rules are advancing the way the healthcare industry communicates," said Ronald A. Williams, CEO of Aetna and CAQH board chairman. "We are investing in an infrastructure that is improving connectivity and operability among healthcare providers and payers, while helping to fulfill the priorities of the national health IT agenda. This ongoing advancement can increase efficiency and quality through more timely access to key healthcare data. We strongly encourage all industry stakeholders to become CORE-certified."

The CORE rules complement the national solutions outlined by the American Recovery and Reinvestment Act (ARRA) and its Health Information Technology for Economic and Clinical Health (HITECH) Act. HITECH includes objectives to generate cost savings, promote adoption of a single set of national rules, and drive interoperability in healthcare. CORE shares these goals. The rules are helping foster the development of regional and state data exchanges by pairing robust content with infrastructure requireme
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SOURCE CAQH
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