Three insurers—
A handful of other payers expect to certify during the first quarter, says Gwendolyn Lohse, managing director of CORE and deputy director of
CORE started with Phase I of an electronic eligibility/benefit determination transaction. The recently completed Phase II of CORE further tightened the eligibility/benefit determination transaction and included claims status. Participants now are developing prior authorization and remittance transactions in Phase III.
Insurers already certified as able to conduct Phase I CORE transactions represent more than 70 million Americans, Lohse says. These insurers include private payers representing 75% of the commercially insured market, Medicare and a handful of Medicaid plans. More information is available at
Additional information on CORE will be available in an article on electronic data interchange trends in the February issue of
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