Cambridge, Mass.-bed NaviNet (formerly NaviMedix), says it is the first vendor to receive a CAQH Committee on Operating Rules for Information Exchange (CORE) Phase II clearinghouse product Certification Seal
CORE Phase II rules expand upon the data consistency and interoperability improvements gained by rules created in CORE Phase I. The Phase II rules cover requirements for electronic connectivity, patient identifiers, claims status, and reporting of year-to-date patient financial responsibility and coverage, including an increased number of service type codes that are defined by HIPAA.
CAQH (Council for Affordable Quality Healthcare, Washington) is a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers.
