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CAQH: Verification Boosts Provider Payment Rate

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Researchers at the Council for Affordable Quality Health Care have found that doctors and clinics that check to see whether patients really have health coverage are more likely to get paid.

The researchers at CAQH, Washington, used a grant from an outside foundation to look at provider eligibility verification efforts.

The study was part of a CAQH effort to develop standard procedures that can help simplify communications between health plans and health care providers.

The study included doctors’ offices and in-patient facilities in California and New York.

CAQH hopes to use the results of the study to come up with rules for improving patient identification procedures, the group says.