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Answering CAQH’S Call to Action for Increased Automation

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Published on May 25, 2022

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This white paper represents the views of the author, not America’s Health Insurance Plans (AHIP). The publication, distribution or posting of this white paper by AHIP does not constitute a guaranty of any product or service by AHIP.

Each year, CAQH publishes a detailed report that measures national progress in cost reduction associated with performing administrative transactions in the healthcare industry for medical plans and providers.

With a strong focus in each report on administrative transactions related to verifying insurance coverage, obtaining authorization for care, submitting a claim, and better usage of electronic attachments, one core message continues to ring true year after year: their industry call to action for increased automation and electronic completion of these administrative tasks.

In their most recent report (2021), CAQH reported that the recent COVID-19 impacts and social distancing regulations led to higher usage of automated administrative tasks for the healthcare industry. This report also showed there is still much room for improvement, and CAQH reissued their same call for the industry to capitalize and expand on automation.