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ASC X12 and CAQH CORE Joint Webinar

FALLS CHURCH, VA — (Marketwire) — 09/17/12 —

Learn how healthcare administrative standards and operating rules work in unison to drive industry goals for the seamless exchange of administrative transactions. Complying with the January 2013 ACA Federally mandated Eligibility and Claim Status Operating Rules will bring to light the many benefits associated with leveraging existing synergies between standards and operating rules.

Please join us for this informative webinar that will include representatives from ASC X12 Eligibility Work Group and CAQH CORE to review in detail how the CAQH CORE Operating Rules work in unison with the ASC X12N v5010 270/271 implementation guide including an open Q&A regarding implementation challenges and solutions.

Attendees will be able to:

1. Understand the respective roles of ASC X12 and CAQH CORE in the development of healthcare standards and operating rules

2. Describe the CAQH CORE Operating Rule requirements for the first set of mandated operating rules effective January 2013, i.e. Eligibility for a Health Plan and Healthcare Claim Status

3. Explain the key benefits of using healthcare standards and operating rules together including their value to providers when all stakeholders comply

4. Outline available resources and guidance for implementing both standards and operating rules through the use of an extensive set of tools provided by ASC X12 and CAQH CORE

ASC X12, chartered by the American National Standards Institute for more than 30 years, develops and maintains EDI and CICA standards along with XML schemas which drive business processes globally. The diverse membership of ASC X12 includes technologists and business process experts, encompassing health care, insurance, transportation, finance, government, supply chain and other industries. For additional information, visit . Direct inquiries to .

CAQH CORE is a national multi-stakeholder initiative that streamlines electronic healthcare administrative data exchange and improves health plan-provider interoperability through the development of industry-wide operating rules.

CAQH CORE has been designated by Health and Human Services (HHS) as the operating rule authoring entity for Federal mandates related to Eligibility for a Health Plan and Healthcare Claim Status and the proposed Electronic Funds Transfer/ Electronic Remittance Advice operating rules. To learn more about CAQH CORE, visit . Direct inquiries to , ATTN: Monica Cunningham.

The 2010 passage of the Patient Protection and Affordable Care Act (ACA) and its Section 1104 establishes a national healthcare operating rule mandate in support of the industry-s ongoing administrative simplification efforts. Section 1104 directs the Secretary of HHS to adopt operating rules for three administrative transaction sets. This mandate applies to all HIPAA covered entities.


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