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Harvard Pilgrim Health Care Using CORE Rules to Improve Provider Access to Consistent Electronic Eligibility, Benefits, and Claims Data.

Publication: PR Newswire
Publication Date: 02-APR-09 		Format: Online
Delivery: Immediate Online Access

Article Excerpt
Health Plan Rules Certification Adds to CAQH Initiative Momentum

WASHINGTON, April 2 /PRNewswire/ -- CAQH announced today that Harvard Pilgrim Health Care, Inc. (Harvard Pilgrim), a health plan serving one million members throughout New England, completed the testing process certifying its systems can exchange administrative data according to its Committee on Operating Rules for Information Exchange(R) (CORE) Phase I and Phase II rules.

By implementing both phases of CORE rules, 28,000 Harvard Pilgrim providers now have access to a significantly expanded set of consistent patient administrative information in response to electronic inquiries -- data critical to initiating and completing the healthcare payment...

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