---

---

Cigna supports the Council for Affordable Quality Healthcare (CAQH) in its efforts to make it easier for physicians and hospitals to access health care administrative information at the point of care, before or at the time of service.  CAQH launched the Committee on Operating Rules for Information Exchange (CORE) to make electronic data transactions more predictable and consistent, regardless of the technology.  CORE achieved this goal by developing a set of voluntary business rules that build on existing standards, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

The goals of CORE align with Cigna’s strategies to make conducting business easier and create efficiencies for administrative tasks.  As such, Cigna will be making enhancements to the Eligibility and Benefits transaction response (270/271) in support of CORE Phase 2 rules and guidelines.  The changes will be made in the fall of 2012, and include:

• Supporting additional service type codes
• Returning benefit accumulator results
• Providing frequency limits
• Providing age or visit limits for benefits

Additional information on CAQH or CORE can be found by going to the CAQH website.

---