Achieving Healthcare Interoperability through Voluntary CORE Certification and Testing – A Joint CAQH / Edifecs Webinar

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Providers and Practice Management System Vendors to Explore how Operating Rules are Simplifying Healthcare Administration

Healthcare providers and their contracted system vendors play a critical role in the healthcare industry’s ongoing administrative simplification efforts. By streamlining the exchange of eligibility, benefit coverage and patient financial information among health plans and other healthcare stakeholders, vendors are enabling greater interoperability among multiple health plans. These entities can achieve interoperability with voluntary collaboration through the CAQH Committee on Operating Rules for Information Exchange (CORE) on the development of operating rules for administrative transactions.

CORE Certification, supported by independent testing, is achieved by healthcare organizations that can demonstrate their systems operate in accordance with the CORE operating rules, which improve provider access to patient benefits coverage and financial information at the point-of-care.

In this complimentary webinar, healthcare technology expert Andrew Frost will demonstrate how providers, who team with a CORE-certified vendor, can realize a more streamlined administrative data exchange with multiple health plans.

WHEN: Tuesday, September 27, 2011 at 10:00AM PDT / 1:00PM EDT.

WHAT: A webinar that will explore how efforts by provider organizations and system vendors to implement operating rules are simplifying healthcare administration. Attendees will:

  • Learn about the CAQH CORE Operating Rules phased development process and timeline for adoption of federally mandated operating rules
  • Review the fundamentals of the voluntary CORE Certification and Testing Process
  • Discover how successful voluntary CORE Certification includes a combined effort of provider, health plan, PMS vendor and clearinghouse partners
  • Learn how operating rules and EDI capabilities can simplify provider workflow and enhance revenue cycle management
  • View a live demo of the Edifecs testing platform and identify necessary steps in the successful completion of conformance testing

WHO: Andrew Frost, Product Manager, GE Healthcare

Alison Schambach, Senior Healthcare Business Consultant, Edifecs

Monica Cunningham, CORE Education and Outreach Consultant, CAQH


About Edifecs, Inc.
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA 5010 and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management.

Edifecs is currently recognized as one of the 100 Fastest Growing Private Companies in the state of Washington, 100 Best Places to Work in the state of Washington, an Inc. 5000 fastest-growing private company and one of the 500 Fastest Growing Companies in North America by Deloitte. Edifecs is headquartered in Bellevue, WA. For more information, please visit

About CORE
CORE, an initiative of CAQH, is a multi-stakeholder collaboration that is developing and driving adoption of voluntary national operating rules that help streamline electronic healthcare administrative data exchange. Since its inception, CORE has grown to nearly 130 participating organizations that represent all aspects of the industry. Participants include health plans which maintain eligibility and benefits data for over 150 million lives, or approximately 75% of the commercially insured plus Medicare and state-based Medicaid beneficiaries. Many of these participant organizations have implemented the CAQH CORE Phase I and II Operating Rules, successfully completed stakeholder-specific testing, and received a CORE Certification Seal. Today CORE-certified health plans cover more than 120 million commercially insured lives across the U.S.

Contact Michael Thomas of Raffetto Herman Strategic Communications, PR firm for Edifecs at mthomas(at)rhstrategic(dot)com.


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Robin Rees
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