CAQH (Washington, D.C.) says that for the first time, providers will be able to receive consistent electronic information about patient deductible balances from health plans at the point of care.
According to CAQH, the Phase II rules also cover requirements for electronic connectivity, patient identification and claims status, and reporting of patient financial responsibility for an increased number of service codes included in the HIPAA standards. This achievement is the result of voluntary business rules developed during the second phase of activities conducted by the CAQH Committee on Operating Rules for Information Exchange (CORE), a collaborative healthcare industry initiative, touts the organization.
CAQH, a nonprofit alliance of health plans and trade associations working to streamline healthcare administration, launched the multi-phase program in 2005. CORE is focused on improving provider access to electronic patient administrative and payer information before or at the time of service using any technology they choose, it states.