HL7, CAQH CORE team up to improve prior authorization, administrative interoperability

The current prior authorization process is a major pain point for clinicians, as it’s often labor-intensive and time-consuming. Health Level Seven International (HL7) and the Council for Affordable Quality Healthcare (CAQH) CORE are collaborating to move the industry toward end-to-end automation of the prior authorization process.

It’s part of an effort by the two organizations to work together to improve interoperability between healthcare administrative and clinical systems.

HL7 is a nonprofit standards development organization dedicated to developing standards for the exchange of electronic healthcare data. CAQH CORE was formed by the healthcare industry to promote the adoption of healthcare operating rules that support standards and accelerate interoperability.