Other Priority Initiatives

The following CAQH® CORE® initiatives are under way in 2021.  For more information, or to participate, see www.caqh.org/core/current-initiatives-caqh-core-participants

Medical Documentation/Attachments

  • In 2020, the CAQH® CORE® Attachments Subgroup began to develop operating rules for medical attachments relating to Prior Authorizations. The work of this subgroup is expected to be completed in the first half of 2021.
  • Also in 2021, the CAQH® CORE® Attachments Subgroup will begin work on operating rules for medical attachments relating to Claims.

Eligibility & Benefits Data Content Enhancements

In 2021, the CAQH® CORE® Eligibility & Benefits Task Group will launch to develop updates to the current Eligibility & Benefits Data Content Rule to address emerging industry needs (such as additional service types, telemedicine, additional accumulators, and procedure-level reporting).

CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH®, copyright 2021, Council for Affordable Quality Healthcare®.