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blog itEmdeon Commits to CAQH CORE Phase II Rules
Affirms Emdeon’s Leadership Position Related to Industry Transformation
NASHVILLE, TN (September 15, 2008) – Emdeon, a leading provider of revenue cycle management and clinical communication solutions, announced today that it has committed to complete a testing process by no later than the end of 2009 to certify that it can exchange electronic healthcare administrative data according to the CAQH Committee on Operating Rules for Information Exchange (CORE) new Phase II rules.
The voluntary business rules cover requirements for electronic connectivity, patient identifiers, claim status and reporting of patient financial responsibility for an increased number of service codes included in the HIPAA standards. Providers will be able to receive consistent electronic information about patient deductible balances from potentially any health plan at the point of care. The Phase II rules build on the rules created by the initiative during the Phase I efforts, adopted in 2006.
CAQH, a nonprofit alliance of health plans and trade associations working to streamline healthcare administration, launched CORE with the goal of enabling provider access to patient administrative information before or at the time of service using the electronic system of their choice. CORE rules are built upon existing standards, such as HIPAA. They are developed through collaboration between more than 100 healthcare industry stakeholders as partners in a multi-phase rules development process. Participating health plans cover more than 130 million lives or more than 75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.
“We take great pride in our CORE initiatives”, said Philip Hardin, Executive Vice President of Emdeon Provider Services. “This Phase II milestone offers an excellent opportunity for the industry to advance payer/provider communications. Emdeon’s participation in CORE reinforces our ongoing commitment to simplifying the business of healthcare.” Emdeon became CORE Phase I rules-certified in March of 2007.
“By implementing the CORE Phase II rules, Emdeon is demonstrating its commitment to making it easier for health plans and providers to communicate, and moving the industry one step closer to interoperability,” said Robin J. Thomashauer, CAQH executive director.
Emdeon’s extensive health information network processes nearly four billion transactions annually on behalf of its payer, provider and vendor customers. With industry leading financial management solutions, Emdeon is simplifying the business of healthcare.
About Emdeon Business Services
Emdeon Business Services is a leading provider of revenue cycle management and clinical communications solutions that enables payers, providers and patients to improve healthcare business processes. Our solutions are designed to simplify the business and improve the delivery of healthcare for providers, payers and patients. Emdeon Business Services is owned by General Atlantic LLC and Hellman & Friedman LLC. For more information, visit www.emdeon.com.
About CAQH
CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers and other stakeholders, reduce costs and frustrations associated with healthcare administration, facilitate administrative healthcare information exchange and encourage administrative and clinical data integration. For more information, visit www.caqh.org.
