Data Content Rules (CAQH CORE 154 & 260 Rules) – Health Plans Requirements Data Content Rules (CAQH CORE 154 & 260 Rules) require health plans to address the situation where a patient’s benefit coverage changes from the time of the X12 270 Inquiry to the date of service. True or false? Actually the CAQH CORE … Read More →
EDI Testing CAQH CORE 153 Trading Partner Guidelines EDI Testing CAQH CORE 153 Basics must be combined when determining the overall CAQH CORE Connectivity requirements. Find the fourth part of EDI Testing CAQH CORE FAQs for trading partners below. 1.For batch response pick-up, does CAQH CORE intend for this to be a programmatic interface or a human interface? Under … Read More →
CAQH CORE 153 EDI Payload ID Basics (Connectivity Rule) CAQH CORE 153 EDI Payload ID Basics must be combined when determining the overall CAQH CORE Connectivity requirements. Find the first part of FAQs for trading partners below. 1.Is the payload ID outside the X12 interchange? Yes. 2. Is the payload ID generated and sent by the … Read More →
CAQH CORE 153 Batch Processing (Integration and Testing Guidelines) CAQH CORE 153 Batch Processing rules provide special testing batch processing guidelines for CAQH CORE-authorized and new vendors. Part 2 FAQs are provided below. 1.Batch processing: Will a receiver be able to re-pickup a file if needed? CAQH CORE does not specify this, but recommends that information sources allow for re-pickup … Read More →