Unique Collaboration By 12 Of The Nation's Top Insurers Will Streamline And Improve Accuracy Of Coordination Of Benefits

 Unique Collaboration By 12 Of The Nation's Top Insurers Will Streamline And
             Improve Accuracy Of Coordination Of Benefits Process

PR Newswire

WASHINGTON, March 4, 2013

WASHINGTON, March 4, 2013 /PRNewswire/ -- CAQH® announced today a major new
initiative designed to reduce costs and improve the accuracy of coordination
of benefits processes. This initiative will enable health plans and providers
to "get it right the first time," and more efficiently manage benefits for
patients with policies from more than one insurer. CAQH research suggests that
administrative efficiencies associated with benefits coordination could, over
time, save consumers, providers, health plans and others more than $800M per

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The coordination of benefits process determines primary and secondary coverage
for patients who are insured by more than one policy. Confusion over insurance
status can occur with patients who have lost or changed jobs or have multiple
sources of coverage. This initiative will create a single source of timely and
accurate coverage status, enabling providers to properly bill insurers and
improve claims processes.

"This initiative is part of our ongoing commitment to reduce costs and make
administrative processes work better across the healthcare system," said Robin
Thomashauer, Executive Director of CAQH. "We are working with the leadership
of our member organizations to develop a solution that offers a more reliable,
more transparent way to simplify the coordination of benefits process."

Each of the CAQH member plans has committed to adopt the coordination of
benefits solution when it is launched later this year. These health plans
include Aetna; AultCare; Blue Cross Blue Shield of Michigan; Blue Cross and
Blue Shield of North Carolina; BlueCross BlueShield of Tennessee; CareFirst
BlueCross BlueShield; Cigna; Health Net, Inc.; Horizon Healthcare Services,
Inc.; Kaiser Permanente; UnitedHealth Group; and WellPoint, Inc., on behalf of
its affiliated health plans. Together these organizations cover more than 165
million lives.

"By building and investing in technology that simplifies the claims process,
and deploying it in partnership with care providers, we are collectively
committing to reducing unnecessary administrative costs and improving the
patient experience," stated David Wichmann, Executive Vice President and Chief
Financial Officer, UnitedHealth Group, President, UnitedHealth Group
Operations and Technology and chair of the CAQH Board.

This industry collaboration is the latest in an ongoing effort by CAQH to
reduce administrative costs and streamline healthcare administration. For
example, the CAQH Universal Provider Datasource (UPD®) is used by more than
one million providers to share credentialing and other professional
information with close to 700 health plans, hospitals and other related
organizations.In addition, CAQH recently launched an electronic funds
transfer (EFT) enrollment tool to help providers sign up to receive electronic
payments from multiple health plans. Both of these initiatives are available
to providers at no charge.

More information about the initiative will be available on the CAQH website at

About CAQH

CAQH serves as a catalyst for industry collaboration on initiatives that
simplify healthcare administration for health plans and providers, resulting
in a better care experience for patients and caregivers. CAQH solutions help
promote quality interactions between plans, providers and other stakeholders;
reduce costs and frustrations associated with healthcare administration;
facilitate administrative healthcare information exchange; and encourage
administrative and clinical data integration. Visit www.caqh.org for more
information. Follow us on Twitter at @caqh.


Website: http://www.caqh.org/
Contact: Miranda Woolston, mwoolston@caqh.org, +1-202-778-3224
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