CORE Fees

Fees are a one-time cost for each Phase of certification*

 
Health Plans  
Below $75 million in net annual revenue: $4,000
$75 million and above in net annual revenue: $6,000
 
Clearinghouses  
Below $75 million in net annual revenue: $4,000
     EHNAC HNAP-EHN accredited - apply 10% ($400) discount
 
$75 million and above in net annual revenue: $6,000
     EHNAC HNAP-EHN accredited - apply 10% ($600) discount
 
Vendors  
Below $75 million in net annual revenue: $4,000
$75 million and above in net annual revenue: $6,000
 
Providers  
Up to $1 billion in net annual revenue: $500
$1 billion and above in net annual revenue: $1,500
 
Endorsers  
(Only entities that do not create, transmit or use
eligibility and/or claim status data)
No Fee
 

NOTES:

  • There is no charge to Federal or State government entities to receive the CORE Seal.
  • There is no charge to CAQH member plans to receive the CORE Seal.
  • *This fee is a one-time cost for each Phase of certification, unless an entity becomes decertified or if major changes to the rules are approved by a full CORE vote (Reference CORE: Eligibility and Benefits Certification Policy).
  • Per the CORE Certification Policy, vendor products, and not entire vendor organizations, receive the Certification Seal.
  • The CORE Certification Seal fee does not include the fee for CORE certification testing, which is standard for each stakeholder type. The CAQH website - www.caqh.org – can be accessed for a list of CORE-authorized testing companies and their associated testing fees.
  • CORE participation and CORE certification are two separate activities. If you are interested in participating in CORE, review the CORE Participant Application. CORE participants can assist with writing the rules/policies in addition to voting on the next phase of rules.
  • Any Clearinghouse/EHN entity actively seeking CORE certification as of June 1, 2009 or later that has already achieved EHNAC HNAP-EHN accreditation can take advantage of the partnership program discount. The Clearinghouse/EHN will indicate that it holds a current EHNAC HNAP-EHN accreditation when submitting a CORE Seal application. (CAQH will confirm EHNAC-EHN accreditation status independently.) View more information about EHNAC HNAP-EHN accreditation at www.ehnac.org