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-- Skip to main content Search form Search Events News Contact About About Careers Catalyst News Press Kit Events CORE About CORE Governance Operating Rules CORE Certification Priority Topics Join CORE Resource Library Solutions ProView ProView for Groups ProView - Dental Provider Directory - DirectAssure VeriFide SanctionsTrack Credentialing Solutions Suite EnrollHub COB Smart Explorations The Index Report Calculate Potential Savings Become a Index Participant Index Advisory Council Resources Provider Data Collaboration 2019 Index - Conducting Electronic Business Transactions: Why Greater Harmonization Across the Industry is Needed PRESS RELEASE 02/18/20 Humana Joins Industry Effort to Improve Provider Data and Directories through DirectAssure , an industry alliance working to transform the business of healthcare, today announced that Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has joined other national health benefits companies in the effort to improve the accuracy of health care provider directories by participating in DirectAssure ® . PRESS RELEASE 02/04/20 CORE Approves Two-Day Rule to Accelerate Prior Authorization Process CORE , a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors, and government entities, has voted to set two-day time limits on how quickly health plans must request additional supporting information from providers and make final determinations on prior authorization requests. PRESS RELEASE 01/21/20 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation ® today released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated with administrative transactions through automation. The 2019 Index found that, of the $350 billion dollars widely cited as the cost of administrative complexity in the US healthcare system, $40.6 billion is spent on eight administrative transactions. White Paper The Connectivity Conundrum The Connectivity Conundrum white paper is an in-depth study of the challenges and opportunities associated with connectivity. Read more PRESS RELEASE 05/22/19 Texas Health Plans Use ProView to Improve Provider Data Accuracy Leading health plans across Texas are adopting ProView to improve the accuracy of provider data. White Paper CORE Report on Attachments The CORE Report on Attachments: A Bridge to a Fully Automated Future to Share Medical Documentation , examines the challenges associated with the exchange of medical information and supplemental documentation used for healthcare administrative transactions. The report identifies five areas to improve processes and accelerate the adoption of electronic attachments. PRESS RELEASE 03/14/19 Develops Artificial Intelligence to Improve Provider Directory Accuracy has developed patent-pending artificial intelligence (AI) technology to identify incorrect healthcare provider data and improve the accuracy of directories without contacting the provider. ProView ADA and Simplify the Credentialing Process for Dentists The American Dental Association and are working together to make it easier for dentists to enter and share their professional and practice data with dental plans. Read more DirectAssure Provider Directory Data Confirmation DirectAssure reduces the need for direct health plan outreach to providers, saving time and expense. Learn More ProView ProView Resources Videos, Guides, and Trainings Solutions Login ProView ® EnrollHub ® Careers is a non-profit alliance of health plans and trade associations, developing and leading initiatives that positively impact the business of healthcare. Consider how joining may be the right career choice for you. 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CORE Participant Calendar User ID (case sensitive) Password (case sensitive) In the News 4/13/20 Ensuring Timely Authorization Responses: CORE Two-Day Rule 4/10/20 How Artificial Intelligence Is Optimizing Revenue Cycle Management 4/10/20 'Revenue, cost and provider-patient loyalty': Why automation is a must for prior authorization 3/23/20 A $36 Billion Payment Integrity Problem… 3/18/20 Automation and Integration: Doing More with Less 3/13/20 Why Is It So Hard To Streamline Prior Authorizations? 3/5/20 Humana participating in provider directory improvement 3/3/20 CMS should improve prior authorization in Star Program, MGMA says 3/3/20 How CMS Can Standardize Prior Authorization Using MA Star Ratings 2/18/20 Humana targets accuracy of provider directories Provider Data Roadmap 2020 K Street, NW Suite 900 Washington, DC 20006 Solutions Provider Data Suite ProView Provider Directory - DirectAssure VeriFide SanctionsTrack EnrollHub COB Smart CORE About CORE Governance Operating Rules CORE Certification Priority Topics Join CORE Resource Library Explorations The Index Report Calculate Potential Savings Become a Index Participant Index Advisory Council Resources Provider Data About About Careers Catalyst News Press Kit Events © 2020 All Rights Reserved Privacy Policy | Terms of Use...