Partner Spotlight
November 8, 2021

Partner Spotlight: Council for Affordable Quality Healthcare (CAQH)

CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and health plans. Our Solutions include initiatives to ease the burden of provider data collection, maintenance and distribution, and to quickly and accurately direct coordination of benefits processes.

For example, through DirectAssure┬«, CAQH is helping plans in Ohio improve the accuracy of provider directories and meet Federal and State requirements, including those in the No Surprises Act. Working in concert with CAQH ProView┬«–the industry standard for self-reported provider data that is relied on by more than 1.6 million providers and 1,000 healthcare organizations–DirectAssure enables Ohio practitioners to update their directory information once and share it with all participating health plans authorized to receive the data.

The solution has also been enhanced to make it easier for health plans to identify out of date information, and encourage provider engagement.

To comply with the No Surprises Act, health plans must implement a good faith reasonable interpretation of the statute by January 2022. Learn how DirectAssure can help.