Q4 2006: Quality Measures Survey
Claims adjustments are a key measure of quality and turnaround time and backlog are the two most important measures
used to manage a claims operation.
Surveys are critical to understanding claims. Considering the amount of money, technology,
and resources that move through claims, the amount of available benchmarks and other data
is amazingly thin. We seek to fill that gap.
Q4 2006: Quality Measures Survey
Claims adjustments are a key measure of quality and turnaround time and backlog are the two most important measures
used to manage a claims operation.
Claims adjustments are a key measure of quality and turnaround time and backlog are the two most important measures
used to manage a claims operation.
Q3 2006: Productivity Survey
Health plans responding to the survey had an average claims productivity rate of
22 claims per hour. Health plans handle between 10 and 15 member calls per hour and between
5 and 10 provider calls per hour.
Health plans responding to the survey had an average claims productivity rate of
22 claims per hour. Health plans handle between 10 and 15 member calls per hour and between
5 and 10 provider calls per hour.
Q2 2006: AA Survey
Most payers can increase their AA rate by 5 % in less than 6 months.
Most payers can increase their AA rate by 5 % in less than 6 months.