healthcare leaders: let’s all get on the sa me p ag e....nj shore (wedi/snip ny affiliate) private...

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HEALTHCARE LEADERS: LET’S ALL GET ON THE SAME PAGE. TM Committee on Operating Rules for Information Exchange Imagine an American healthcare system where doctors and hospitals can instantly verify patient insurance information before or at the time of care. From any health plan. With any electronic system. It’s happening today through a set of rules created by the CAQH Committee on Operating Rules for Information Exchange (CORE). By implementing the CORE rules, CORE-certified organizations are speaking the same language. Improving data consistency. Reducing paperwork. Advancing system interoperability. And supporting information transparency for consumers. It’s time to get on the same page. Get certified to use the CORE rules or become a CORE Endorser. Learn more by visiting www.coreconnect.org. Thanks to these additional leading organizations who are helping to establish the CORE rules. HEALTH PLANS Blue Cross Blue Shield of Michigan CareFirst BlueCross BlueShield CIGNA Coventry Health Care Excellus Blue Cross Blue Shield Group Health, Inc. Health Care Service Corporation Health Plan of Michigan Horizon Blue Cross Blue Shield of New Jersey Independence Blue Cross UnitedHealth Group ASSOCIATIONS / REGIONAL ENTITIES / STANDARD SETTING ORGANIZATIONS America’s Health Insurance Plans (AHIP) ASC X12 Blue Cross and Blue Shield Association (BCBSA) Delta Dental Plans Association Health Level 7 (HL7) Healthcare Association of New York State Healthcare Billing and Management Association LINXUS (initiative of GNYHA) National Committee for Quality Assurance (NCQA) National Council for Prescription Drug Programs (NCPDP) NJ Shore (WEDI/SNIP NY Affiliate) Private Sector Technology Group Utah Health Information Network (UHIN) GOVERNMENT AGENCIES Louisiana Medicaid – Unisys Michigan Department of Community Health Minnesota Department of Human Services Oregon Department of Human Resources OTHER Omega Technology Solutions PNC Bank PricewaterhouseCoopers LLP PROVIDERS Adventist HealthCare, Inc. Catholic Healthcare West Cedars-Sinai Health System Healthcare Partners Medical Group Mobility Medical, Inc. New York-Presbyterian Hospital North Shore-LIJ Health System Physician HealthCare Network, PC Spectrum Laboratory Network University Physicians, Inc. (University of Maryland) VENDORS / CLEARINGHOUSES CareMedic Systems, Inc. Electronic Data Systems (EDS) Electronic Network Systems, Inc. (ENS) (an Ingenix Division) First Data Gateway EDI, LLC Healthcare Administration Technologies, Inc. IBM Corporation Ingenix InstaMed mPay Gateway National Account Service Company (NASCO) NextGen Healthcare Information Systems, Inc. Payerpath, a Misys Company Recondo Technology, Inc. Secure EDI Health Group, LLC The TriZetto Group, Inc. 601 Pennsylvania Ave., NW, South Building, Suite 500 Washington, DC 20004 (202) 861-1492

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Page 1: HealtHcare leaders: Let’s ALL Get On the sA me P AG e....NJ Shore (WEDI/SNIP NY Affiliate) Private Sector Technology Group Utah Health Information Network (UHIN) goveRnment agencies

He alt Hc are le ader s:

Let’s ALL Get On the sAme PAGe.

TM

Committee on Operating Rulesfor Information Exchange

Imagine an American healthcare system where doctors and hospitals can instantly verify patient insurance information before or at the time of care. From any health plan. With any electronic system.

It’s happening today through a set of rules created by the CAQH Committee on Operating Rules for Information Exchange (CORE).

By implementing the CORE rules, CORE-certified organizations are speaking the same language. Improving data consistency. Reducing paperwork. Advancing system interoperability. And supporting information transparency for consumers.

It’s time to get on the same page. Get certified to use the CORE rules or become a CORE Endorser. Learn more by visiting www.coreconnect.org.

Thanks to these additional leading organizations who are helping to establish the CORE rules.

HealtH PlansBlue Cross Blue Shield of MichiganCareFirst BlueCross BlueShieldCIGNACoventry Health CareExcellus Blue Cross Blue ShieldGroup Health, Inc.Health Care Service CorporationHealth Plan of MichiganHorizon Blue Cross Blue Shield of New JerseyIndependence Blue CrossUnitedHealth Group

associations / Regional entities / standaRd setting oRganizationsAmerica’s Health Insurance Plans (AHIP)ASC X12Blue Cross and Blue Shield Association (BCBSA)

Delta Dental Plans AssociationHealth Level 7 (HL7)Healthcare Association of New York StateHealthcare Billing and Management AssociationLINXUS (initiative of GNYHA)National Committee for Quality Assurance (NCQA)National Council for Prescription Drug Programs (NCPDP)NJ Shore (WEDI/SNIP NY Affiliate)Private Sector Technology GroupUtah Health Information Network (UHIN)

goveRnment agenciesLouisiana Medicaid – UnisysMichigan Department of Community HealthMinnesota Department of Human ServicesOregon Department of Human Resources

otHeROmega Technology SolutionsPNC BankPricewaterhouseCoopers LLP

PRovideRsAdventist HealthCare, Inc.Catholic Healthcare WestCedars-Sinai Health SystemHealthcare Partners Medical GroupMobility Medical, Inc.New York-Presbyterian HospitalNorth Shore-LIJ Health SystemPhysician HealthCare Network, PCSpectrum Laboratory NetworkUniversity Physicians, Inc. (University of Maryland)

vendoRs / cleaRingHousesCareMedic Systems, Inc.Electronic Data Systems (EDS)Electronic Network Systems, Inc. (ENS) (an Ingenix Division)First DataGateway EDI, LLCHealthcare Administration Technologies, Inc.IBM CorporationIngenixInstaMedmPay GatewayNational Account Service Company (NASCO)NextGen Healthcare Information Systems, Inc.Payerpath, a Misys CompanyRecondo Technology, Inc. Secure EDI Health Group, LLCThe TriZetto Group, Inc.

601 Pennsylvania Ave., NW, South Building, Suite 500Washington, DC 20004

(202) 861-1492