WASHINGTON, DC — (Marketwire) — 11/21/12 —

Health Care Eligibility Benefit Inquiry and Response:
Standards and Operating Rules Working in Unison

There is no fee to attend

All HIPAA covered entities must comply with the ACA mandated eligibility and claim status operating rules by January 1, 2013. Understanding the details of how the ASC X12 Standards and CAQH CORE Operating Rules work in unison for the eligibility transaction is an essential component of any successful operating rule implementation project.

Answers to frequently asked questions from implementing organizations will be provided. Attendees will be able to submit questions during the session via phone or web and dialogue directly with CAQH CORE and ASC X12 representatives.

1. Understand the respective roles of ASC X12 and CAQH CORE in the development of standards and operating rules for the healthcare industry

2. Learn how the CAQH CORE Operating Rules relate to the ASC X12 Health Care Eligibility Benefit Inquiry and Response

3. Understand necessary steps and best practices to successfully implement CAQH CORE Operating Rules within your organization

4. Learn through an interactive Question & Answer session with CAQH CORE and ASC X12 representatives

Margaret Weiker – Chair, ASC X12 Insurance Subcommittee

Donna Campbell – Co-chair, ASC X12N Work Group (WG1) Health Care Eligibility

Merri-Lee Stine – Co-chair CAQH CORE Subgroup; representative of a voluntary CORE-certified Health Plan

Robert Bowman – CORE Manager, CAQH CORE and Liaison to ASC X12

HIPAA covered entities and their business associates that are implementing CAQH CORE Operating Rules for Eligibility data content

ASC X12, chartered by the American National Standards Institute for more than 30 years, develops and maintains EDI and CICA standards along with XML schemas which drive business processes globally. The diverse membership of ASC X12 includes technologists and business process experts, encompassing health care, insurance, transportation, finance, government, supply chain and other industries. For additional information, visit .

CAQH CORE is a national multi-stakeholder initiative that streamlines electronic healthcare administrative data exchange and improves health plan-provider interoperability through the development of industry-wide operating rules.

CAQH CORE has been designated by Health and Human Services (HHS) as the operating rule authoring entity for Federal mandates related to healthcare operating rules under ACA Section 1104. To learn more about CAQH CORE, visit .

ASC X12

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