Transactions processor Passport Health Communications will build a national registry to streamline the coordination of benefits process enabling providers and insurers to more easily identify primary and secondary insurance coverage.
Industry advocacy organization CAQH, which developed the CORE operating rules to make HIPAA transactions more uniform and now is trying to streamline the COB process, selected Franklin, Tenn.-based Passport. CAQH in March announced that 12 major insurers pledged to adopt a uniform COB process when complete later this year, and invited other private and public payers to join.
The initial 12 insurers, covering 165 million lives, are 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, Horizon Healthcare Services, Kaiser Permanente, UnitedHealth Group, and WellPoint and its affiliated plans.
The registry will be a shared repository of patient demographic data to match and compare records from different health plans to identify patients with overlapping coverage from more than one insurer. The goal is to electronically identify and assess payer responsibilities when a patient has coverage from more than one insurer, which currently is primarily a manual and often inaccurate process.
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