The Employees Group Insurance Division of the Office of Management and Enterprise Services is pleased to announced that HealthChoice and HP Administrative Services, LLC (HP) have achieved CAQH® Committee on Operating Rules and Information Exchange (CORE®) Phase III Certification.
CAQH is a non-profit alliance of health plans and trade associations that are committed to the development and adoption of national operating rules for coverage-related administrative transactions. Its mission is to promote quality interactions between plans, providers and other stakeholders, reduce costs associated with healthcare administration, facilitate the exchange of administrative healthcare information and to encourage the integration of administrative and clinical data.
CORE Phase III certification ensures healthcare organizations and providers can electronically exchange and access patient coverage information with HealthChoice and HP according to CORE rules. Regardless of the technology, CORE rules are based on national standards, including HIPAA, which make the transmission of electronic data progressively more streamlined, seamless and predictable.
Now that HealthChoice and HP have achieved CORE certification, HealthChoice providers have the ability to electronically access consistent and accurate administrative data, such as eligibility, benefits, claims’ status and coverage information which will help to eliminate phone calls and paperwork for the office staffs of our providers.
CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH® Copyright 2010, Council For Affordable Quality Healthcare®. All rights reserved.