Kukamonga Ranch, California, June 1, 2022 / PRNewswire / – The Internal Empire Health Plan (IEHP) has earned the Council for Affordable Quality Care (CAQH)®) Rules of operation of information exchange (CORE®) Eligibility, claim status and seal certification of payments and remittances.
This means that the IEHP has successfully completed an extensive process of testing and reviewing national performance standards, allowing health plans and providers to quickly and accurately share large amounts of administrative data electronically. These rules and guidelines aim to increase the efficiency and cost of the national health care system.
“Exceeding these standards is crucial to ensure that our suppliers have the information they need to provide the best possible assistance to our members, ”he said. Vinyl Devabhaktuni, Chief Information Officer of IEHP. “Our teams are working tirelessly to build sustainable systems and processes to support these efforts and will continue to find innovative solutions to support the ongoing needs of our members and suppliers.”
The CORE certificate, widely regarded as the industry’s “gold standard,” illustrates IEHP’s commitment to secure member data sharing and timely healthcare delivery. The certification also demonstrates IEHP’s ongoing efforts that adhere to operating rules and their core standards, and go beyond what is required.
“The Inland Empire Health Plan demonstrates industry leadership,” they said Robin J. Thomashauer, president of CAQH. “Work rules are most effective when they are followed, and today thanks to the IEHP, our country’s healthcare system has taken another important step forward. “
CAQH CORE is a collaboration of more than 130 participating organizations working together to develop operating rules. Participants represent health care providers, health plans, providers, associations, government agencies, and organizations that set health and data exchange standards. The CORE certificate is currently available for all currently published sets of operating rules.
With a mission to heal and inspire the human spirit, the Inland Empire Health Plan (IEHP) is one of the 10 largest Medicaid health plans and the largest nonprofit Medicare-Medicaid plan in the country. In its 26th year, the IEHP supports more than 1.5 million residents Riverside and San Bernardino counties that are enrolled in Medicaid or Cal MediConnect plans and have a growing network of more than 7,800 vendors and nearly 2,500 team members. Thanks to a dynamic partnership with providers and community organizations, combined with award-winning service and a tradition of quality service, IEHP is fully committed to its vision: we do not rest until our communities receive optimal care and good health. For more information, visit iehp.org.
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SOURCE Internal Empire Health Plan (IEHP)