Gartner Research

Healthcare Providers Should Plan to Take Advantage of CAQH CORE Eligibility Verification Operating Rules

Published: 12 October 2006

ID: G00143683

Analyst(s): Wes Rishel, Vi Shaffer


Major U.S. health insurers, providers and vendors have taken a notable step forward in tackling one critical and time-consuming step in the revenue cycle management process: health plan eligibility verification. Gartner reviews the initiative and recommends proactive steps for providers.

Table Of Contents
  • Plugging HIPAA Gaps
  • Major Early-Adopting Vendors See Benefits, Expect Transparent Transition for Users
  • Many Other Vendors Are Likely to Participate in Certification
  • Recommendations

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