We're a nonprofit organization formed by health plans nearly 25 years ago with a straightforward goal: make healthcare work better. Today, we're trusted by stakeholders across the healthcare ecosystem to improve business processes and offer the most comprehensive provider and member data in the US. We connect 1,000 health plans to over 4 million provider records, simplifying administrative work so providers can focus on patient care instead of paperwork.
Our technology-enabled solutions include provider data management, credentialing, primary source verification, sanctions monitoring, directory maintenance, and coordination of benefits. Through our CORE initiative, we bring the healthcare industry together to accelerate interoperability, increase automation, and align administrative and clinical activities. We also publish the CAQH Index, which has been the industry standard for tracking progress in automating administrative transactions for 13 years, helping identify opportunities to reduce costs and drive efficiency.