HealthTrio Reconfirmed as Only Portal Provider Awarded CAQH CORE Certification

DENVER, July 25, 2019 /PRNewswire-PRWeb/ -- HealthTrio has been awarded Phase III of CAQH CORE certification, the third cumulative tier promoting interoperability operating standards, HealthTrio announced today, making them the only member and provider engagement platform that has achieved this level of compliance and precision.

Awarded by The Council for Affordable Quality Healthcare, Inc (CAQH), CORE Phase III is a prestigious designation achieved through a demonstrated ability of high-level compliance with Electronic Data Interchange (EDI) operating rules and industry standards as related to remittance advice (835) transactions and associated workflows. Having previously been awarded CAQH CORE Phases I and II, which focused on eligibility (270/271) and claim status (276/277) transaction types, HealthTrio has a long-standing history of adherence to CAQH CORE standards.

"By achieving this level of certification, we're proving yet again our value as a reliable healthcare partner, complying with the industry's gold standard of technical standards and supporting operating rules," said Dominic Wallen, President and COO of HealthTrio. "For many of our clients, this level of data integration is integral to their operational workflows. Having a 278 transaction, as one example, seamlessly incorporated into their utilization management and claims processing systems not only decreases costs, but increases efficiency and compliance."

CAQH, a non-profit alliance of health plans and trade associations, is dedicated to developing and leading initiatives that positively impact the business side of healthcare. CAQH CORE (Committee on Operating Rules for Information Exchange) is an industry-wide collaboration committed to the development and adoption of national operating rules for electronic business transactions.

For an organization to receive Phase III CAQH CORE certification, they must prove their remittance advice (835) transactions and associated workflows adhere to an established set of technical standards and the supporting operating rules that specify the business actions required for each party to ensure a high volume of reliable electronic transactions.

HealthTrio has stated that they are continuing to the next – and highest – level of certification: CAQH CORE Phase IV, which focuses on appropriate transaction responses (999, 278, 277CA) and the ability to respond to either real-time or batch, valid and invalid transactions (278, 834, 837P, and 837I) using SOAP+WSDL protocol.

About HealthTrio

HealthTrio, a leading Software-as-a-Service provider for the healthcare market, is dedicated to web-based solutions that improve experiences in value-based care, data integration, care coordination, and member and provider engagement. As the first to market a portal solution nearly twenty years ago, HealthTrio has been a longstanding leader in building elegant, advanced solutions, all purposefully designed to help simplify the intricate healthcare landscape. Drawing together systems and stakeholders across the care continuum, HealthTrio partners with Medicaid, Medicare, Commercial and provider-sponsored customers to deliver robust, modular solutions that increase transparency, communication and collaboration. HealthTrio's innovative technology solutions decrease costs while increasing access, supporting care and improving outcomes. To learn more, visit http://www.healthtrio.com.

SOURCE HealthTrio