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CAQH
Company Website:
http://www.caqh.org
Newsroom
Business Focus:
Association: Trade / Professional Society
Quality Improvement
Administrative Processes/Services
Company Description:
For more than 20 years, CAQH has helped the nation's health plans, providers, government entities and other healthcare organizations connect, exchange information and operate more efficiently. CAQH Solutions, and the Committee on Operating Rules for Information Exchange (CORE) bring the healthcare industry together to make sharing business information more automated, predictable and consistent. CAQH Insights researches opportunities to reduce the burden of manual processes in healthcare administration.
Company Contacts:
Media Contact(s)
Caroline Massie
[Senior Associate, Communications]
Kate Meyer
[Manager, Communications]
Lesley Ward
[Manager, Communications]
Company Officials:
Sarah Ahmad
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[Chief Executive Officer]
Jay M. Gellert
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[Chair, Administrative Simplification Committee]
Robert J. Greczyn Jr.
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[Past Board Chairman]
Ronald A. Williams
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[Board Chairman]
Linda Fishman
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[Board Member]
Kim Koebel
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[Chief Operating Officer]
Tyler Ford
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[Vice President of Strategy]
Steven Marin
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[Senior Enterprise Director - Payer Division]
Richard Ratliff
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[SVP - Business Development and Marketing]
Kristina Rollings
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[Chief Growth Officer]
Abdullah Awaysheh
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[Healthcare Data Scientist]
R. Reid Kiser
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[Former Director of Research & Measurement]
View Additional Employees and Representatives
Robert Bowman
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[Principal - Interoperability and Standards]
Sheila Bowman
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[VP - Account Management]
Kristine Burnaska
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[Director of Research and Measurement]
David Colon-Margolies
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[Director - Provider Engagement]
Kristina Furner
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[Associate Director - Event Strategy & Management]
Jonathan Grau
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[CORE Marketing & Business Development]
Samantha Holvey
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[Senior Writer - Public Relations and Content]
Yuvi Kochar
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[Managing Director, Technology and Operations]
Gwendolyn Lohse
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[Deputy Director and CORE Managing Director]
Jennifer Lux PMP
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[Director of Product Marketing]
Caroline Massie
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[Senior Associate, Communications]
Jessica Porras
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[Senior Manager, Outreach and Education]
Tyler Schultz
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[Senior Project Associate]
Steve Slaton
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[Director - Product Management]
Omni Adekanmbi
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[Manager - CAQH CORE]
Taha Anjarwalla
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[Senior Manager - CORE]
Warren Chang
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[Inside Sales Manager]
Scott Everline
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[Manager - Sales]
Etta Fleet
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Rachel Goldstein
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[CORE Manager]
Jyoti Jalali
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[Senior Manager Business Development]
Kate Meyer
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[Manager, Communications]
Morgan Tackett
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[Senior Product Manager]
Tarun Theogaraj
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[Senior Product Management]
Michelle Toscano
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[Senior Manager Business Development]
Leslie Wade
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[Marketing Manager]
Lesley Ward
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[Manager, Communications]
Raynard Washington
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[Senior Manager, Research & Measurement]
Jen Boza
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[Senior Account Manager]
Claire Eckland
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[Senior Account Manager]
Karen Ford
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[Account Manager]
Kerchina Johnson
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[Account Manager]
Joseph Kocher MBA
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[Account Manager]
Veronica Neff
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[Senior Account Manager]
Jordan Sganga
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[Account Management]
Rachel Foerster
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[CAQH Consultant - Rachel Foerster & Associates, Ltd]
View Past Employees/Others with Past Affiliations
Sorin Davis MPA
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[Former Senior Vice President - Industry Relations]
Alexa Finn
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[Former Account Manager]
Andrew Hooson
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[Former Sales Associate]
Maggie New
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[Former Marketing Associate]
Mark Pratt
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[Former Senior Vice President of Public Affairs]
Omar Rabb
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[Former Senior Account Manager]
Lynne Rowland
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[Former SVP of Marketing and Communications]
Octavia Samuels
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[Former Marketing - Product]
Sarah Sweeney
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[Former VP - Strategic Marketing & Communications]
BJ Taylor II
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[Former Account Manager]
Robin J. Thomashauer
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[Retired Executive Director]
April Todd
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[Retired Chief Policy & Research Officer]
Ron Urwongse
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[Former Director of Strategy and Innovation]
Miranda Woolston
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[Former Communication Specialist]
Company News/Coverage:
New CAQH Report Reveals Significant Differences in Administrative Costs Among Healthcare Providers by Type and Size
CAQH Announces an Initiative with Leading Health Plans to Support Healthcare Providers and Improve Data Quality
2023 CAQH Index Report Reveals Transformative Forces
CAQH Announces Kim Koebel as the Organization's First Chief Operating Officer and Erin Weber as new Chief Policy and Research Officer
CAQH Announces New CEO, Sarah Ahmad
View all remaining Company News/Coverage headlines
AHIP | CAQH: How Automating Administrative Workflows Can Save the Dental Industry $2.6 Billion Every Year
National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules
CAQH Unveils New Brand Highlighting Innovative, Data-Driven Approach to Streamlining Healthcare Administration
Two Million Healthcare Providers Trust CAQH Solutions to Securely and Seamlessly Exchange Professional Information with Health Plans and Other Organizations
2022 CAQH Index: Health plans and providers can save nearly $25 billion annually by automating administrative transactions
IEHP Earns Industry CORE Certification for Data Security
New CAQH CORE Operating Rules Improve How Plans and Providers Exchange Information Related to Eligibility and Supplemental Documentation
2021 CAQH Index: COVID-related challenges resulted in increased adoption of electronic business processes and greater opportunities for future savings
CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits
CAQH and EHNAC Partner to Provide Incentives for FHIR App Developers to Become Accredited
CAQH: Electronic Healthcare Claim Payments Surge in 2021
CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps
New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments
CAQH Study: Initial Results Show Pharmacy Administrative Transactions Are Highly Automated
CAQH Announces Development of National Directory of FHIR Endpoints
Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure
CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process
CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation
CAQH Survey: Maintaining Provider Directories Costs U.S. Physician Practices $2.76 Billion Annually
CAQH CORE and HL7 Announce Collaboration to Improve Interoperability Between Administrative and Clinical Systems
CAQH CORE White Paper Outlines Plan to Accelerate Automation of Prior Authorization
Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy
CAQH CORE Releases Operating Rules to Promote Automation for Prior Authorization
CAQH CORE Study Reveals Five Opportunities to Increase Electronic Exchange of Medical Documentation
CAQH CORE Awards More than 350 Certifications, Demonstrating Industry Progress Toward Automation, Interoperability and Administrative Efficiency
CAQH Develops Artificial Intelligence to Improve Provider Directory Accuracy
MD-Staff, CAQH Work Together to Make Sharing Provider Data Easier and More Accurate for Groups
Leading Health Plans Adopt CAQH Solution to Streamline Provider Directories in Tennessee
CAQH 2018 Index: Healthcare Industry Continues Progress Automating Business Processes Amid Increase in Transaction Volume
CAQH Develops the First Provider Data Management Solution for Delegated Groups with Support from Accenture
CAQH Solution Brings Transparency to Verifying Healthcare Provider Credentials
Humana Joins CAQH and the National Effort to Streamline Healthcare Business Practices and Improve Provider Data
April Todd to Lead CAQH CORE and Explorations
CAQH ProView Streamlines Data Sharing Between Delegated Groups and Plans
Mark Pratt to Lead CAQH State and Federal Public Affairs Program
Massachusetts Health Plans Select CAQH Solution to Increase Provider Directory Accuracy
CAQH: Medicaid Can Save More than $4.8 Billion by Moving to Fully Electronic Transactions
CAQH CORE Urges Industry Wide Collaboration, Immediate Measures to Improve Prior Authorization Process
CAQH Achieves HITRUST CSF Certification to Further Mitigate Risk in Third Party Privacy, Security and Compliance
CAQH: Increasing Automation of Claims-Related Business Transactions Would Save Healthcare $11.1 Billion Annually
CAQH: New Industry Roadmap Lays Path to Address Provider Data Inaccuracies in Healthcare
New CAQH CORE Research: Streamlining Adoption of Value-Based Payments
CAQH Recognized for Excellence in Health IT by WEDI
CAQH CORE Opens Phase IV Certification for Prior Authorization and Other Electronic Healthcare Transactions
More than 1 Million Federal Employees Now Covered by CAQH CORE-Certified FEHB Plans
American Dental Association and CAQH Team Up to Simplify Credentialing Process for Dentists
CAQH Again Recognized as One of Best Places to Work in Healthcare
Cynthia West Named New CAQH Managing Director, Business Development and Account Management
CAQH: Provider Data Action Alliance Starts Work on Roadmap to Improve Accuracy of Healthcare Provider Data
Yuvi Kochar Named CAQH Managing Director, Technology and Operations
Provider-Owned Health Plans Seek CAQH CORE Certification
CAQH Launches New Solution to Improve the Provider Credentialing Process
CAQH: CORE Certifications Top 300 with Aetna and Cigna Awards
CAQH: Reducing Manual Business Transactions Could Save Healthcare $9.4 Billion
Modern Healthcare Recognizes CAQH as a Best Place to Work in Healthcare
Clearinghouses and IT Vendors Join Rapidly Growing List of Entities Becoming CAQH CORE Certified
CAQH: Reducing Manual Business Transactions Can Save U.S. Healthcare $8 Billion Annually
CAQH Launches New Solution to Improve Provider Directory Data Quality
FierceMarkets Announces Finalists in 2015 Fierce Innovation Awards: Payer Edition
EmblemHealth Achieves Phase III CAQH CORE Certification
BCBSNE awarded CORE certification for electronic information management
CAQH CORE Milestone: 200 Operating Rules Certifications Awarded to Healthcare Organizations
Sorin Davis Discusses CAQH ProView Credentialing Solution In symplr Monthly Webcast Series
CAQH: New National Healthcare Operating Rules Approved for Electronic HIPAA Transactions
Atlantic Information Services, CAQH to Present Complimentary Webinar on Streamlining Healthcare Benefits Coordination
CAQH: $8 Billion Annual Savings Opportunity for U.S. Healthcare With Adoption of Electronic Business Transactions
Healthcare Organizations Voluntarily Earn More Than 150 CAQH CORE Operating Rules Certifications
CAQH and Major Health Plans Launch COB Smart - A Collaborative Solution to Improve Healthcare Claims Processes
Horizon Blue Cross Blue Shield of New Jersey Recognized for its Efforts to Ease and Improve the Health Care Billing System
Horizon Healthcare Services, Inc. Among Growing Number of Healthcare Organizations to Achieve Voluntary CAQH CORE Operating Rules Certifications
CAQH Named by Computerworld as a 2013 Computerworld Honors Laureate
Ten Additional Healthcare Organizations Achieve Voluntary CAQH CORE Operating Rules Certifications
CAQH: Unique Collaboration By 12 Of The Nation's Top Insurers Will Streamline And Improve Accuracy Of Coordination Of Benefits Process
CAQH: New Online Tool Lets Providers Enroll in EFT with Multiple Payers through a Single, Online Process
ASC X12 and CAQH CORE Joint Webinar
HEALTHeLINK Achieves CORE Phase II Connectivity
One Million Healthcare Providers Now Use the CAQH Universal Provider Datasource
CAQH CORE Operating Rules Adopted By HHS For Patient Eligibility And Health Claim Status Transactions
CAQH Administrative Efficiency Efforts Acknowledged in Health Affairs Study That Concludes U.S. Physicians Spend Four Times as Much Money as Canadians When Interacting With Payers
NCPDP and CAQH CORE Partner on Harmonizing Operating Rules and Standards Across Healthcare
TennCare Contracts with CAQH UPD to Collect Provider Data
900,000 Healthcare Providers Now Part of CAQH Universal Provider Datasource
CAQH CORE Launches Transition Committee to Recommend Plan for Multi-Stakeholder Governance
UnitedHealth Group is First to Achieve CAQH Core Certification Using 5010 Testing Platform
CIGNA Joins CAQH Board; Expands Major Collaborative Effort to Simplify Healthcare Administration
HealthTrio LLC Achieves CAQH CORE Phase II Certification for Consistent Health Care Administrative Data Exchange
ZirMed Achieves CORE Phase I Certification
CAQH Board of Directors Elects David Wichmann of UnitedHealth Group as New Chairman
Health Care Service Corporation Selects UPD as Provider Data Solution
BlueCross BlueShield of Tennessee Achieves CAQH CORE Phase II Certification
CIGNA Achieves CORE Phase I Certification
CAQH UPDATE: 20 Healthcare Organizations Set to Achieve CAQH CORE Phase II Rules Certification
Emdeon Achieves CAQH CORE Phase II Compliance
RelayHealth Achieves CAQH CORE Phase II Certification for Consistent Healthcare Administrative Data Exchange
CAQH: More Than 800,000 Physicians and Allied Health Professionals Now Using the Universal Provider Datasource to Save $92 Million Per Year in Administrative Costs
CAQH: New York State Adopts Universal Provider Datasource to Reduce Administrative Costs for Medicaid
CAQH and VeriSign Pilot Industry Solution for Secure Data Exchange
CAQH: Aetna and WellPoint Achieve CORE Phase II Certification
Recondo Technology Receives Certification From CAQH/Committee on Operating Rules for Information Exchange (CORE)
InstaMed Achieves CAQH CORE Rules Certification, Streamlines Provider Access to Consistent Electronic Eligibility, Benefits and Patient Financial Liability Data
Study Results Show CAQH CORE Certification Dramatically Cuts Administrative Costs, Accelerates I.T. Adoption by Providers and Health Plans
The nonprofit alliance of health plans and trade associations, CAQH, and EHNAC Partnership to Discount Fees for Clearinghouses Seeking Both CORE Rules Certification and HNAP Accreditation
NaviNet is the First Vendor to Achieve CAQH CORE Phase II Certification for Consistent Healthcare Administrative Data Exchange
CAQH: Harvard Pilgrim Health Care Using CORE Rules to Improve Provider Access to Consistent Electronic Eligibility, Benefits, and Claims Data
HealthFusion’s Real-Time Eligibility Achieves CAQH CORE™ Certification for Expedient, Reliable Data Exchange of Patient Insurance Information
CAQH Announces Humana Inc. is Certified to Use CORE Phase I Rule
BCBSA: Healthcare Organizations Launch Collaborative Initiative To Test HIPAA Transactions Against Proposed 5010 Standards
American Medical Association Endorses CAQH CORE Effort to Standardize and Streamline Patient Administrative Data Exchange
CAQH Initiative Creates First-Time National Provider Access to Consistent Patient Deductible Data, Moves Industry Closer to Electronic Connectivity Standard
ACS Awarded Contract to Provide Comprehensive Outsourcing Services for CAQH
RxHub’s CAQH CORE Rules Certification Aids Data Exchange Coordination
CAQH Core Rules Final Component of HITSP Interoperability Standards Formally Recognized By HHS Sec. Leavitt
Aetna Requires CAQH Core Rules Certification for Vendors
CAQH: Hospitals, Technology Vendors, Healthcare Organizations Join National Initiative To Write The Rules On Electronic Insurance Verification, Claims Status
NoMoreClipboard.comTM CEO shares vision for Personal Health Records
Health IT Vendors, Clearinghouses Transforming Patient Insurance Verification Through CAQH National Initiative
VisionShare Secure Exchange SoftwareTM Meets CAQH CORE Rules for Information Exchange Between Healthcare Providers and Health Plans
Over 500,000 Health Care Providers Now Cutting Costs, Saving Time Through CAQH Administrative Simplification Initiative
Aetna Chairman and CEO Ron Williams Elected CAQH Board Chairman
NoMoreClipboard.com is First PHR to Receive CAQH CORE Certification
Portico(TM) Systems to Share Provider Data Management Strategies at CAQH Best Practices Conference
Medical Informatics Engineering is First EMR Vendor to Receive CORE Certification
NoMoreClipboard.com(TM) Personal Health Record Demonstrates Ability to Communicate with Health Plans and Care Providers
Aetna Endorses Effort to Simplify Transactions for Health Care Providers
CAQH: Providers, Hospitals Can Now Access Consistent Health Insurance Coverage Information in Seconds
IVANS Survey Finds Surprisingly Widespread Use of Electronic Eligibility Verification
North Shore-Long Island Jewish Health System Joins Healthcare Industry Leaders in CAQH Initiative to Improve Electronic Data Exchange, Reduce Administrative
Portico Systems Provider Platform Now Integrates CAQH Universal Credentialing DataSource
400,000 Providers Eliminating Redundant Forms, Saving Nearly $56 Million Annually
CAQH CORE Phase I Rules Included in the Health Information Technology Standards Panel (HITSP) Consumer Empowerment specifications recommendation to HHS
Collaborative Initiative Achieving Vision of Simplified Provider Credentialing
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