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MD On-Line Achieves CAQH CORE(TM) Certification for Consistent Healthcare Administrative Data Exchange

PARSIPANNY, N.J., July 29 /PRNewswire/ -- MD On-Line, a leading healthcare technology company that specializes in facilitating electronic commerce between providers and payers, announced today that it has received a CAQH Committee on Operating Rules for Information Exchange (CORE(TM)) Clearinghouse Certification Seal. The CORE Seal was awarded after MD On-Line successfully completed Phase I certification testing -- a process ensuring that healthcare organizations can electronically exchange or access patient insurance information according to CORE Phase I rules.

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CORE certification ensures that MD On-Line's products and services can securely process electronic eligibility queries within 20 seconds and that providers will receive consistent eligibility and benefits information required to verify patient health insurance coverage. The ability to verify a patient's insurance coverage in real time shortens the registration process and speeds claims processing.

"Achieving CORE certification is yet another example of MD On-Line's commitment to providing quality products and services that meet and exceed the needs of today's busy medical practice. The benefits of being a CORE certified entity will be most evident to our customers as they utilize MD On-Line to Transact the Business of Healthcare," said Bill Bartzak, President and CEO of MD On-Line. "We are committed to assisting our providers improve their revenue cycle management by providing them with products and services that operate as effectively and efficiently as possible."

MD On-Line provides products and services aimed at facilitating electronic commerce between providers and payers. Its CORE certified product offering is web-based, enabling providers to interface with payers to check patient eligibility in real time. The information collected provides co-pay and benefit information allowing the provider to collect co-pay amounts at the point of service.

The CORE rules, which build upon national standards, including HIPAA's eligibility (X12 270/271) transaction, make electronic administrative data communications seamless, streamlined and predictable, regardless of the technology. In many cases, the CORE rules eliminate the need for time-consuming phone calls and paperwork.

According to a recent CAQH study, providers may reduce labor costs associated with verifying insurance coverage as much as 50 percent by moving from labor-intensive verification methods (Web, fax and phone) to automated HIPAA transactions. Health plans also could achieve significant labor savings, as the study showed that average labor costs per phone call are $1.38 vs. $0.00 for an automated transaction.

CAQH, a nonprofit alliance of health plans, trade associations and networks, launched CORE to promote health plan-provider interoperability and improve provider access to administrative information. To date, the voluntary industry-wide initiative has brought together more than 100 healthcare industry stakeholders -- health plans, providers, vendors, CMS and other government agencies, associations, regional entities, standard-setting organizations and banking industry experts -- to develop the operating rules. These stakeholders cover more than 130 million lives, or more than 75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.

"The CORE rules represent a cutting-edge approach to improve provider access to consistent eligibility and benefits data," said Robin J. Thomashauer, CAQH executive director. "By adopting the rules and completing CORE certification, MD On-Line is reducing unnecessary healthcare administrative burden, and helping U.S. healthcare become more efficient and responsive to patient concerns."

For more information on MD On-Line, call (888) 499-5465 or visit to

About CAQH

CAQH is 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 and its members are working to achieve a healthcare system in which administrative processes are efficient, predictable, and easily understood by patients, caregivers and providers. In this system, administrative and clinical data are integrated to effectively support the delivery of care.

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About MD On-Line, Inc.

Founded in 1995, MD On-Line, Inc. is a healthcare technology company focused on "Transacting the Business of Healthcare". The company provides solutions fostering connectivity between healthcare payers and providers to facilitate transactions and reduce related costs. Privately-held, the company processes in excess of two million electronic transactions per month, and is the preferred solution provider for some of the largest medical insurance companies in the country. With offices in New Jersey and California, MD On-Line has been named to the Inc. 500 list of the fastest growing companies in America, and has twice been included on the Deloitte & Touche Fast 500 and New Jersey Technology Fast 50 list of companies.

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