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Edifecs, CAQH and Harvard Pilgrim Health Care Will Examine CORE Phase II Testing Outcomes and Lessons Learned at HIMSS09 Interoperability Showcase
Date:4/4/2009

plished using the CORE II connectivity standard - a web services based process using digital certificates to secure the transactions over the internet. "We've been using a web services protocol regionally for the past four years to exchange millions of transactions in our market. With the evolution to a national standard for secure transport of health care information via the internet, CAQH's CORE, in conjunction with HITSP, have in effect offered a solution to make health information exchange as easy as email," said John Kelly, Director for eBusiness Architecture at Harvard Pilgrim.

Initiated by CAQH CORE supports a nationwide drive to provide patient information electronically, ideally before services are performed, or at time of service. Improving provider access to administrative and payer-specific information is one of the underlying goals of CORE, as well as creating interoperability among parties based on technical platforms that are both vendor and technology neutral. Therefore participants are able to exchange data with any technology and applications they select.

Built and maintained by Edifecs, the Edifecs CORE Testing Service validates implementation of the CORE rules, using scripts and test data developed by the CORE Work Groups, which consist of providers, payers, clearinghouses, government payers and other healthcare stakeholders, and approved by the CORE participants via voting. Edifecs, HPHC and CAQH staff will specifically address two issues of great potential for the Payer and Provider communities operating with the CORE Phase I and Phase II Rules:

  1. Patient Financials: The panel will demonstrate the return of patient financial information that has been included in the voluntary CORE requirements since April 2006 - well ahead of the recommendations in the mandated 5010. The CORE rules, using standards, specify the following be exchanged: co-pay, co-insurance, static a
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SOURCE Edifecs, Inc.
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