Recognition for Electronic Payment Systems to Providers

EmblemHealth has achieved Phase III CAQH Committee on Operating Rules for Information Exchange (CORE®) Certification, a voluntary certification program widely viewed as the industry “gold standard.” In the New York City metro area, EmblemHealth is one of only two health plans — and the only nonprofit plan — to achieve this certification.

“This is a crucial milestone, that demonstrates how EmblemHealth is using technology to improve administrative efficiency across the health care system,” said Karen Ignagni, President and CEO, EmblemHealth.

“The CAQH Core Certification underscores EmblemHealth’s commitment to improving payment processing, streamlining the accounts receivable process, and improving the accuracy and timeliness of information exchange. Our goal is to simplify the administrative burden to our providers so that they may focus on value-based care. EFT/ERA automation is also an important component of our corporate sustainability efforts,” stated Jennifer Truscott, VP, Claims Operations, EmblemHealth.

EmblemHealth was awarded the CAQH CORE Certification after successfully completing testing by an independent CORE-certified testing vendor. The company can now exchange electronic health care information with health care providers for EFT and ERA in conformance with the Phase III CAQH CORE Operating Rules.

To learn more, read the press release, EmblemHealth Achieves Phase III CAQH CORE Certification.