Eligibility and Benefits Operating Rules for Standard Transactions

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Aligning ISA with New…

Aligning ISA with New Operating Rule Structure: In Spring 2020, CAQH CORE restructured its operating rules from phase-based rule sets to rule sets based on the business processes supported by the rules. No substantive changes were made to existing rule requirements. As a result of the restructuring, CAQH CORE recommends updates to the following sections of the ISA: Operating Rules to Support Eligibility Transactions (Phase I) -- Eligibility & Benefits Operating Rules

ISA Comments from CAQH CORE 11.1.20 FINAL.pdf

CAQH CORE Comments to ONC ISA - Phase I

Aligning ISA with New Operating Rule Structure: In Spring 2020, CAQH CORE restructured its operating rules from phase-based rule sets to rule sets based on the business processes supported by the rules. No substantive changes were made to existing rule requirements. As a result of the restructuring, CAQH CORE recommends updates to the following sections of the ISA: Operating Rules to Support Eligibility Transactions (Phase I) -- Eligibility & Benefits Operating Rules

ISA Comments from CAQH CORE 11.1.20 FINAL_1.pdf

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