Charlotte, NC (September 07, 2007) – MedData®, announced today that it has received a CAQH Committee on Operating Rules for Information Exchange (CORE™) Clearinghouse Certification Seal.
CORE certification ensures that MedData® users can securely process electronic eligibility queries within 20 seconds and that providers will receive consistent eligibility and benefits information required to verify patient health insurance coverage. The ability to verify a patient's insurance coverage in real time shortens the registration process and speeds claims processing.
The CORE rules, which build upon national standards, including HIPAA’s eligibility (X12 270/271) transaction, make electronic administrative data communications seamless, streamlined and predictable, regardless of the technology. In many cases, the CORE rules eliminate the need for time-consuming phone calls and paperwork. According to a recent CAQH study, providers may reduce labor costs associated with verifying insurance coverage as much as 50 percent by moving from labor-intensive verification methods (Web, fax and phone) to automated HIPAA transactions. Health plans also could achieve significant labor savings, as the study showed that average labor costs per phone call are $1.38 vs. $0.00 for an automated transaction
CAQH, a nonprofit alliance of health plans, trade associations and networks, launched CORE to
promote health plan-provider interoperability and improve provider access to administrative
information. To date, the voluntary industry-wide initiative has brought together more than
100 healthcare industry stakeholders – health plans, providers, vendors, CMS and other government
agencies, associations, regional entities, standard-setting organizations and banking industry experts –
to develop the operating rules. These stakeholders cover more than 130 million lives, or more than
75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.
“The CORE rules represent a cutting-edge approach to improve provider access to consistent
eligibility and benefits data," said Robin J. Thomashauer, CAQH executive director.
"By adopting the rules and completing CORE certification,
MedData® is reducing unnecessary healthcare administrative burden,
and helping U.S. healthcare become more efficient and responsive
to patient concerns.”
CORE™, the CORE-certification/Endorser Seals and logo are trademarks of CAQH® Copyright 2007, Council For Affordable Quality Healthcare®. All rights reserved.
Visit
www.caqh.org for more information.