Other Priority Initiatives
The following CAQH® CORE® initiatives are under way in 2021. For more information, or to participate, see www.caqh.org/core/current-initiatives-caqh-core-participants.
- In 2020, the CAQH® CORE® Attachments Subgroup began to develop operating rules for medical attachments relating to Prior Authorizations. The work of this subgroup is expected to be completed in the first half of 2021.
- Also in 2021, the CAQH® CORE® Attachments Subgroup will begin work on operating rules for medical attachments relating to Claims.
Eligibility & Benefits Data Content Enhancements
In 2021, the CAQH® CORE® Eligibility & Benefits Task Group will launch to develop updates to the current Eligibility & Benefits Data Content Rule to address emerging industry needs (such as additional service types, telemedicine, additional accumulators, and procedure-level reporting).
CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH®, copyright 2021, Council for Affordable Quality Healthcare®.
- Benefit Enrollment
- Claim Status
- Claims / Encounters
- Eligibility / Benefits
- ERA / EFT
- Payroll Deducted and Other Group Premium Payment
- Referral / Priority Authorization