WorkCompEDI has attained its CORE IV certifications with CAQH (Council for Affordable Quality Healthcare).

The Phase IV CAQH CORE Operating Rules streamline the way that claims, prior authorization, benefits enrollment and maintenance, and premium payment healthcare administrative information is exchanged electronically. Easier, more reliable access to this information can reduce the amount of time providers spend on administration by requiring entities to support claims acknowledgements for submitted claims, enhancing the review and response time of prior authorization requests, enrolling employees and beneficiaries electronically, providing premium payment information to health plans, and providing a Companion Guide template to help clarify and specify the data content entities exchange electronically.