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Transforming Patient Insurance Verification: Leveraging CAQH Core Rules

Session #: 808-A11
Presenter(s): Gwendolyn Lohse; Morgan Tackett
Session Length: 1 hr. 30 min.
Event: 2008 HFMA ANI
Date: June 23-26, 2008

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After this session, you will be able to: Define the CAQH Committee on Operating Rules for Information Exchange (CORE) initiative and explain the certification process required to use the rules. Analyze the impact of CORE to providers, health plans, IT vendors and clearinghouses. Create awareness of administrative savings that can be achieved by providers and health plans by moving to automated insurance verification. Build awareness about the rules related to eligibility and benefits verification and claims status currently being developed under CORE Phase II.



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