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Aetna

Aetna Endorses Effort to Simplify Transactions for Health Care Providers

Published in Law and Health Weekly, April 21st, 2007

Aetna (NYSE: AET) has taken another step toward simplifying administrative transactions for health care providers. The company is supporting a standard set of national rules developed by the CAQH Committee on Operating Rules for Information Exchange (CORE) that promote consistent electronic information exchange among health plans and others in the health care industry.

CORE operating rules build on existing standards, such as HIPAA, to make electronic transactions more predictable and consistent, regardless of the technology. The CORE rules simplify the member eligibility verification process. Health care providers can submit a benefit eligibility verification request...

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