CAQH CORE HTTP/S Vendor Parties Guidelines CAQH CORE HTTP/S vendor rules do not require that an entity (provider or health plan) implement the technology directly into their own data center. The Phase I CAQH CORE Rules implicitly acknowledge that both providers and health plans will use technology solutions provided by vendors to accomplish all that must … Read More →
CAQH CORE Batch Processing Vendor Requirements CAQH CORE Batch Processing: Why not FTP or sFTP for batch transactions instead of HTTP/S?HTTP/S is robust and has a proven track record with batch transactions. The benefits of a single communication standard were a compelling reason to mandate its availability. Information sources that allow FTP and/or sFTP for … Read More →
EDI HTTP Guidelines For CAQH CORE 250: Claim Status Infrastructure Rule EDI HTTP guidelines refer to parties contracting with Medicare and CAQH CORE-authorized testing vendors. One of the typical questions from vendors – “Is there a required format in Phase I CAQH CORE Connectivity for the authorization, date/time, and payload ID to be sent in the … Read More →
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 →