Caqh.org

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Overview & More informations

CAQH is a nonprofit alliance of health plans and providers that has created a standardized set of operating rules and tools for electronic health care transactions. These rules and tools are designed to make it easier and more efficient for health plans and providers to conduct business with each other electronically.

CAQH's mission is to improve the efficiency and effectiveness of the healthcare system by enabling the secure exchange of electronic health information. CAQH does this by developing and maintaining a set of operating rules and tools that are used by health plans and providers to conduct electronic transactions. These rules and tools help to ensure that electronic health information is exchanged in a secure and efficient manner.

CAQH's operating rules and tools are used by more than 1,000 health plans and providers across the United States. These organizations use CAQH's rules and tools to conduct a variety of electronic transactions, including claims processing, eligibility verification, and prior authorization.

CAQH's rules and tools are also used by a number of government agencies, including the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC). These agencies use CAQH's rules and tools to help them implement and enforce electronic health information exchange standards.

CAQH is a leader in the development and implementation of electronic health information exchange standards. CAQH's rules and tools are used by a majority of the health plans and providers in the United States. CAQH's work is helping to improve the efficiency and effectiveness of the healthcare system by enabling the secure exchange of electronic health information.

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