Healthcare operating rules and certification transition to X12’s governance framework

X12, the ANSI-accredited standards development organization at the foundation of healthcare administrative data exchange, announced today that it has assumed ownership and administration of the CORE Operating Rules and Certification Program from DataSpring, powered by CAQH, a healthcare data infrastructure company.

X12’s acquisition of these programs ensures the continued development, maintenance, and availability of operating rules and certification activities that have helped improve automation, reduce administrative burden, and strengthen consistency across the healthcare ecosystem.

“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,” said Cathy Sheppard, CEO of X12. “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,” Sheppard continued. “Stakeholders can expect continued access to operating rules, certification resources, and implementation guidance throughout the transition period.”

Continuity of the Certification Program

The CORE Certification Program will continue to operate without interruption to ensure organizations can complete testing, renew certifications, and demonstrate conformance to federally mandated operating rules. X12 assumes ownership, administration, and ongoing management of the Program, preserving its integrity, transparency, and value to participating organizations while preparing future enhancements aligned with industry needs.

Operating Rules Program Transition

As the healthcare industry advances interoperability and evaluates updates to HIPAA transaction standards, transitioning the operating rules program to X12 consolidates responsibility for both operating rules and administrative standards within a single organization. This alignment is expected to strengthen coordination, improve clarity for implementers, and support long-term consistency across the administrative simplification framework.

“These programs were created to complement X12’s implementation guides improving the consistency of administrative transactions,” said Sheppard. “We look forward to maintaining and strengthening operating rules and certification as they transition into X12’s governance framework.”

Additional information will be shared with industry stakeholders as the transition progresses. For the latest program updates, follow X12 on LinkedIn and Twitter and visit X12.org.

About X12

X12, chartered by the American National Standards Institute (ANSI) for more than 40 years, develops and maintains business-to-business data exchange standards to drive business processes globally. X12's diverse membership includes dedicated technologists and business process experts in health care, insurance, transportation, finance, government, supply chain, and other industries. X12’s consensus-building forum enables members to meet regularly to develop syntax-neutral data exchange standards collaboratively. With more than 320 published transaction sets, 1,400 data elements, and more than 40,000 codes available for use, the body of X12's work can be used to conduct nearly every facet of business-to-business operations.

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“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"