CORE Phase Login

The Edifecs testing service allows entities interested in becoming certified to perform the requirements necessary to show implementation of all applicable CORE Rules.  If you would like to learn more about the testing process before you register, please visit our Conformance testing webpage.  Or you can download the Edifecs CORE Phase Eligibility & Benefits and Claim Status Quick Start Guide, CORE Phase Payment & Remittance Quick Start Guide, CORE Phase Prior Authorization, Claims, Enrollment, and Premium Payment (Infrastructure Rules) Quick Start Guide and CORE Phase Prior Authorization (Data Content and Web Portal Rules) Quick Start Guide for more information regarding CORE Testing. Registered CORE stakeholders may use their current username/password to logon. Non-registered CORE stakeholders please click the register button to begin the CORE certification testing process.

Learn more about the testing process and how Edifecs can help you achieve compliance.
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Payment & Remittance

  

 

Prior Authorization, Claims, Enrollment, and Premium Payment (Infrastructure Rules)

  

 

Prior Authorization (Data Content and Web Portal Rules)

  

Registration Request

 

Eligibility & Benefits and Claim Status