CORE helps streamline electronic healthcare payments at point of care

By Bernie Monegain
12:00 AM

CAQH, an alliance of health plans and trade associations, announced Monday that for the first time healthcare providers will be able to receive electronic information about patient deductible balances from any health plan at the point of care.

Voluntary business rules developed during the second phase of activities conducted by the CAQH Committee on Operating Rules for Information Exchange (CORE) has made the achievement possible, CAQH executives said.

"Today's announcement further demonstrates that CORE is transforming the way our industry communicates," said Ronald A. Williams, CAQH chairman of the board and chairman and CEO of Aetna. "With the Phase II rules now in place and work begun on Phase III, CORE is effectively achieving its mission to create an all-payer approach to streamlined administrative data exchange."

CAQH, which is dedicated to streamlining healthcare administration, launched the multi-phase program in 2005.