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. 

Medical Documentation/Attachments

• 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^®.