American Medical Association Endorses CAQH CORE Effort to Standardize and Streamline Patient Administrative Dat... (claimsstatus and reporting of patient fi...)

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American Medical Association Endorses CAQH CORE Effort to Standardize and Streamline Patient Administrative Data Exchange

Date:10/29/2008

claims status and reporting of patient financial responsibility for an increased number of service codes -- uniformly adopting existing standards to do so.

Development has begun on the CORE Phase III rules, which may include steps to determine in- or out-of-network status of a provider, alternative search requirements for eligibility transactions when member ID information is missing, data regarding claims payment and status, and continuing to harmonize CORE with other industry standardization efforts. CAQH expects to launch those rules in 2009.

About CAQH

CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers and other stakeholders, reduce costs and frustrations associated with healthcare administration, facilitate administrative healthcare information exchange and encourage administrative and clinical data integration. Visit http://www.coreconnect.org for more information about CORE.

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American Medical Association Endorses CAQH CORE Effort to Standardize and Streamline Patient Administrative Dat...(claimsstatus and reporting of patient fi...),Health