X12 acquired the CORE Operating Rules and Certification Program from DataSpring, powered by CAQH, bringing the healthcare programs under X12’s governance framework. And X12 is an ANSI-accredited standards development organization whose standards underpin healthcare administrative data exchange.
The acquisition gives X12 ownership, administration, and ongoing management responsibility for the CORE Operating Rules and Certification Program.
The programs are designed to improve automation, reduce administrative burden, and increase consistency across the healthcare ecosystem.
X12 and DataSpring plan to coordinate throughout the transition to minimize disruption for organizations that currently use or participate in the programs.
Organizations will continue to have access to operating rules, certification resources, and implementation guidance during the transition.
The CORE Certification Program will continue operating without interruption.
Participating organizations will remain able to complete testing, renew certifications, and demonstrate compliance with federally mandated operating rules.
X12 said it intends to preserve the certification program’s integrity and transparency while evaluating future enhancements based on industry requirements.
The transition also consolidates responsibility for operating rules and administrative standards within a single organization.
X12 expects that structure to improve coordination as the healthcare industry advances interoperability and considers updates to HIPAA transaction standards.
The organization said bringing the programs together should provide greater clarity for implementers and support longer-term consistency across administrative simplification initiatives.
X12 has been chartered by the American National Standards Institute for more than 40 years.
Its standards span healthcare, insurance, transportation, finance, government, supply chain, and other industries.
The organization has published more than 320 transaction sets, approximately 1,400 data elements, and more than 40,000 codes used across business-to-business processes.
KEY QUOTES:
“During the transition period, X12 and DataSpring will coordinate closely to ensure continuity for organizations that have relied on the CORE Operating Rules and Certification Program. Our goal is to make the transition as seamless as possible for organizations currently using or participating in these programs.”
“No immediate action is required. Stakeholders can expect continued access to operating rules, certification resources, and implementation guidance throughout the transition period.”
“These programs were created to complement X12’s implementation guides improving the consistency of administrative transactions. We look forward to maintaining and strengthening operating rules and certification as they transition into X12’s governance framework.”
Cathy Sheppard, CEO of X12
