healthcare leaders

HE A LT HC ARE LE ADER S:
LET’S ALL GET ON
THE SAME PAGE.
Imagine an American healthcare system where doctors and hospitals can instantly verify patient insurance
information before or at the time of care. From any health plan. With any electronic system.
It’s happening today through a set of rules created by the CAQH Committee on Operating Rules for Information
Exchange (CORE).
By implementing the CORE rules, CORE-certified organizations are speaking the same language. Improving
data consistency. Reducing paperwork. Advancing system interoperability. And supporting information
transparency for consumers.
It’s time to get on the same page. Get certified to use the CORE rules or become a CORE Endorser. Learn more
by visiting www.coreconnect.org.
Thanks to these additional leading organizations who are helping to establish the CORE rules.
HEALTH PLANS
Blue Cross Blue Shield of Michigan
CareFirst BlueCross BlueShield
CIGNA
Coventry Health Care
Excellus Blue Cross Blue Shield
Group Health, Inc.
Health Care Service Corporation
Health Plan of Michigan
Horizon Blue Cross Blue Shield of New Jersey
Independence Blue Cross
UnitedHealth Group
ASSOCIATIONS / REGIONAL ENTITIES /
STANDARD SETTING ORGANIZATIONS
America’s Health Insurance Plans (AHIP)
ASC X12
Blue Cross and Blue Shield Association (BCBSA)
Delta Dental Plans Association
Health Level 7 (HL7)
Healthcare Association of New York State
Healthcare Billing and Management Association
LINXUS (initiative of GNYHA)
National Committee for Quality Assurance (NCQA)
National Council for Prescription Drug Programs
(NCPDP)
NJ Shore (WEDI/SNIP NY Affiliate)
Private Sector Technology Group
Utah Health Information Network (UHIN)
GOVERNMENT AGENCIES
Louisiana Medicaid – Unisys
Michigan Department of Community Health
Minnesota Department of Human Services
Oregon Department of Human Resources
OTHER
Omega Technology Solutions
PNC Bank
PricewaterhouseCoopers LLP
PROVIDERS
Adventist HealthCare, Inc.
Catholic Healthcare West
Cedars-Sinai Health System
Healthcare Partners Medical Group
Mobility Medical, Inc.
New York-Presbyterian Hospital
North Shore-LIJ Health System
Physician HealthCare Network, PC
Spectrum Laboratory Network
University Physicians, Inc. (University of Maryland)
TM
Committee on Operating Rules
for Information Exchange
VENDORS / CLEARINGHOUSES
CareMedic Systems, Inc.
Electronic Data Systems (EDS)
Electronic Network Systems, Inc. (ENS)
(an Ingenix Division)
First Data
Gateway EDI, LLC
Healthcare Administration Technologies, Inc.
IBM Corporation
Ingenix
InstaMed
mPay Gateway
National Account Service Company (NASCO)
NextGen Healthcare Information Systems, Inc.
Payerpath, a Misys Company
Recondo Technology, Inc.
Secure EDI Health Group, LLC
The TriZetto Group, Inc.