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2025 Claim Status Data Content Subgroup (CSSG)

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Overview

CORE Claim Status Data Content Subgroup (CSSG) to evaluate the following opportunity areas for rule development: Standardizing Error Code Combinations through Business Scenarios, Data Alignment on the Claim Status Transaction, and Enabling Real-Time Data Exchange.

Announcements

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Staff

Tanner Fuchs

CAQH

Kaitlin Powers

CAQH CORE

Bob Bowman

CAQH CORE

Taha Anjarwalla

CAQH CORE

Don Taylor

CAQH

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Co-Chairs

Tyler Scheid

American Medical Association (AMA)

Kristin Thonsgaard

Optum

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Members

Matt Louden

HIVE Strategy

Alyssa Uhl

CAQH

Heather McComas

American Medical Association (AMA)

Robert Otten

American Medical Association (AMA)

Rebecca Fortek

Mayo Clinic

Tracey Tillman

The SSI Group, Inc.

Susan Langford

BlueCross BlueShield of Tennessee

Sonya May

UnitedHealth Group

Tyler Scheid

American Medical Association (AMA)

Diana Fuller

State of Michigan Medicaid

Bob Bowman

CAQH CORE

Tanner Fuchs

CAQH

Nick Radov

Stedi, Inc.

Rose Hodges

Aetna

Taha Anjarwalla

CAQH CORE

Kaitlin Powers

CAQH CORE

Mark Rabuffo

Aetna

Kiran Kalluri

Unitedhealthcare

Tara Rose

Optum

Gheishaly Rosariodiaz

LabCorp

Leah Barber

Availity

Terri Cook

UnitedHealth Group

Jamie Osborne

Children's Healthcare of Atlanta Inc

Andrea Preisler

American Hospital Association

James Haberman

Epic

Christopher Gracon

HealtheNet

Marie Becan

PeaceHealth

Don Taylor

CAQH

Kristin Thonsgaard

Optum

Holly Gilligan

UnitedHealthcare

Shannon Kennedy

Sekhmet Advisors

Rebekah Fiehn

ADA

RJ Rodriguez

Hive Strategy

Maria Wroblewski

Blue Cross Blue Shield Association

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Calendar

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CORE CSSG Call #2
04/03/2025
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CSSG Call #1 - Introduction
03/06/2025

Upcoming Events

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Past Events

04/03/2025 2:00 - 2:45 pm ET

CORE CSSG Call #2

03/06/2025 3:00 - 3:45 pm ET

CSSG Call #1 - Introduction

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Documents

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DRAFT CORE-required Claim Status Code Combinations for CORE-defined Claim Status Business Scenarios v1.0.0 April 2025

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CSSG Call #2 Summary 04.03.25

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20250403_CORE CSSG Call #2

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Test Work Group Document

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CORE Claim Status Data Content Subgroup Call #1 Deck

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