A group that has been working to put patient health care benefits eligibility information online announced that its system is up and running.
The Council for Affordable Quality Health Care, Washington, says health care providers and hospitals can now have fast access to consistent eligibility and benefits information to verify patient health insurance coverage. The system was completed under new standard business rules developed by CAQH’s Committee on Operating Rules for Information Exchange (CORE).
Nearly 20 leading health organizations have been voluntarily exchanging patient administrative data in accordance with the CORE rules, including ACS EDI Gateway Inc.; Aetna Inc.; Athenahealth Inc.; and WellPoint, Inc. and its 14 Blue Cross and Blue Shield-licensed subsidiaries.
All of these organizations recently completed certification testing to assure that their IT systems and products comply with the CORE rules, according to CAQH.