CAQH CORE Operating Rules for the Exchange of an Attributed Patient Roster

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Operating Rules	CORE Attributed Patient Roster (X12 v5010X318 834) Data Content Rule vAPR.2.0	Final	Production		No	Free	Yes^$
Operating Rules	CORE Attributed Patient Roster (X12 v5010X318 834) Infrastructure Rule vAPR.3.0	Final	Production		No	Free	Yes^$

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Operating rules for HIPAA standard transactions were added as a requirement of the Patient Protection and Affordable Care Act of 2010, under Section 1104, Administrative Simplification. Operating rules are intended to support and enhance the use of standard transactions. They may include certain requirements to help implement the transaction in a more uniform way across health plans, and to ensure a more complete set of information in the response. In 2023, the CORE Operating Rules for Exchange of an Attributed Patient Roster were updated to facilitate the secure, standardized exchange of member socio-demographic information collected during enrollment to a health plan. Operating rules for the electronic exchange of a roster of patients attributed to the provider under a value-based contract are available for voluntary use by covered entities. Testing or certification with operating rules is voluntary and available through CORE. CORE maintains free tools to support operating rule implementation. Additionally, CORE offers educational webinars on its website.	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

Operating rules for HIPAA standard transactions were added as a requirement of the Patient Protection and Affordable Care Act of 2010, under Section 1104, Administrative Simplification.
Operating rules are intended to support and enhance the use of standard transactions. They may include certain requirements to help implement the transaction in a more uniform way across health plans, and to ensure a more complete set of information in the response.
In 2023, the CORE Operating Rules for Exchange of an Attributed Patient Roster were updated to facilitate the secure, standardized exchange of member socio-demographic information collected during enrollment to a health plan.
Operating rules for the electronic exchange of a roster of patients attributed to the provider under a value-based contract are available for voluntary use by covered entities.
Testing or certification with operating rules is voluntary and available through CORE. CORE maintains free tools to support operating rule implementation. Additionally, CORE offers educational webinars on its website.

Feedback requested.

Comment

Submitted by mphillips@caqh.org on 2024-08-09

CAQH CORE 2025 ISA Updates

Recommended updates to the Operating Rules for the Exchange of an Attributed Patient Roster are included on pages 4-5 of the attached document.

CORE Submission_2025 ISA Updates_APR.pdf

Submitted by mphillips@caqh.org on 2023-10-06

Recommended Updates to the CORE Attributed Patient Roster Page

CORE recommends several substantive content and clarifying changes to the CAQH CORE Operating Rules for the Exchange of an Attributed Patient Roster website. The changes are outlined on Page 3 of the letter found at this link: CORE Submission for the 2024 ISA Open Comment Period.