Standards & EDI
CAQH CORE
Draft — pending verification
This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.
In more depth
CORE's prior-authorization operating rules address 278 infrastructure (connectivity, response time, acknowledgment behavior) — adoption improves cross-payer consistency even where not federally mandated. CORE certification signals a partner's transactions behave to spec.