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CORE Attributed Patient Roster (v5010X318 834) Data Content Rule Version APR.2.0 January 2024CAQH Committee on Operating Rules for Information Exchange (CORE) Attributed Patient Roster (X12 v5010X318
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01
Access the CAQH CORE website and create an account
02
Log in to the CAQH CORE portal using your credentials
03
Fill out the required fields with accurate information, including organization details, contact information, and business operations
04
Review and verify all the information provided before submitting the form
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Submit the completed CAQH CORE operating rules form for processing

Who needs caqh core operating rules?

01
Healthcare entities such as health plans, providers, and clearinghouses who want to streamline administrative transactions
02
Organizations looking to comply with industry standards and regulations related to electronic healthcare transactions
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CAQH CORE Operating Rules are a set of standards designed to facilitate the electronic exchange of healthcare administrative data, improving the efficiency and accuracy of transactions such as eligibility verification, claims status, and payment processing.
Health plans, healthcare providers, and other entities involved in the electronic exchange of healthcare transactions are required to adhere to and file CAQH CORE Operating Rules.
Filing CAQH CORE Operating Rules typically involves reviewing the specific certification requirements, implementing the standards within your organization’s systems, and completing the necessary documentation that demonstrates compliance.
The purpose of CAQH CORE Operating Rules is to promote interoperability among the electronic health information systems by standardizing the processes for the exchange of administrative and financial data in healthcare.
The information reported under the CAQH CORE Operating Rules includes transaction compliance rates, implementation timelines, and metrics related to the use of electronic transactions in healthcare.
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