CAQH
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| Abbreviation | CAQH |
|---|---|
| Founded | July 22, 1998 |
| 91-1930832 | |
| Legal status | 501(c)(6) trade association |
| Purpose | Health care, information technology |
| Headquarters | Washington, D.C. |
| Services | CAQH CORE, CAQH Solutions, CAQH Explorations |
| Robin J. Thomashauer | |
| Gwendolyn Lohse | |
| David Wichmann | |
|
Revenue (2014)
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$38,755,193 |
| Expenses (2014) | $30,515,410 |
|
Employees (2014)
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48 |
|
Volunteers (2014)
|
100 |
| Mission | To accelerate the transformation of business processes in healthcare through collaboration, innovation and a commitment to ensuring value across stakeholders. |
| Website | www |
CAQH (officially Council for Affordable Quality Healthcare, Inc.] is a 501(c)(6) non-profit organization,incorporated in California on July 22, 1998, and based in Washington, D.C.. Its mission is to accelerate the transformation of business processes in healthcare through collaboration, innovation and a commitment to ensuring value across stakeholders, including healthcare providers, trade associations, and health plans.
CAQH has created a number of initiatives to streamline the business of healthcare: CAQH CORE®, CAQH Solutions™, and CAQH Explorations™. CAQH Solutions include CAQH ProView™, CAQH VeriFide™, SanctionsTrack®, EnrollHub®, and COB Smart®. CAQH Explorations™, the research arm of CAQH, includes the CAQH Index®.
Established in 2005, CAQH CORE (the Committee on Operating Rules for Information Exchange) is a multi-stakeholder collaboration of more than 140 organizations – providers, health plans, vendors, government agencies and standard-setting bodies – committed to the development and adoption of national operating rules for administrative transactions within the healthcare industry. CAQH CORE participating organizations include health plans representing more than 75% of commercially insured lives, plus Medicare and Medicaid beneficiaries.
The Affordable Care Act (ACA) mandated better standardization of the electronic HIPAA administrative and financial transactions between providers and insurers. In 2012, CAQH CORE was designated by the Department of Health and Human Services (HHS) as an author for ACA-mandated operating rules. Operating rules support a range of existing standards to make electronic data transactions more predictable and consistent, regardless of technology used.
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