CAQH CORE 155

CAQH CORE 155 Operating Rules – Batch Response Time Rule CAQH CORE 155 Operating Rules set one hour as the maximum response time for the availability of the ASC X12 Implementation Acknowledgement (999) as specified in CAQH CORE 155: Batch Response Time Rule. But what is the maximum response time for HTTP message after a Read More →

CAQH CORE Eligibility Data

CAQH CORE Eligibility Data Content Rules – Frequently Asked Questions CAQH CORE Eligibility Data Content Rules (CAQH CORE 154 & 260 Rules) do not require that the X12 271 response to an X12 270 inquiry include a specified grouping of Service Type Codes (STCs), so are health plans/information sources prohibited from returning such an STC Read More →

CAQH CORE

CAQH CORE 154 Eligibility & Benefits 270/271 Data Content Rule CAQH CORE 154 Eligibility & Benefits 270/271 eligibility data content subjects to the Phase I and general CAQH CORE 260 Rule rule requirements for the X12 270/271. CAQH CORE 154 Eligibility & Benefits 270/271 Notes The CAQH CORE 154 Eligibility & Benefits (270/271) Data Content Rule Version 1.1.0 does not Read More →

EDI Testing CAQH CORE

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 Batch Processing

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 →

CAQH CORE 153 Batch

CAQH CORE 153 Batch Processing FAQs CAQH CORE 153 Batch Processing basic rules provide integrity guidelines for CAQH CORE-authorized and new testing vendors. Part 1 FAQs are provided below. 1.Batch processing: Why not FTP or sFTP for batch transactions instead of HTTP/S? HHTTP/S is robust and has a proven track record with batch transactions. The benefits of a single Read More →

EDI CAQH CORE

EDI CAQH CORE 153 EDI Connectivity And Testing Requirements EDI CAQH CORE 153 EDI Connectivity And Testing basics provide connectivity guidelines for CAQH CORE-authorized testing vendors. Part 2 FAQs are given below. 1. Will all CAQH CORE-authorized testing vendors use the same certification test scripts and the same detailed connectivity method to test the Phase I CAQH CORE Connectivity Read More →