Surveys Home
The ClaimHeader gathers and shares claims process related information. Our current
Surveys are below.
Welcome
Welcome to the ClaimHeader survey section. Anyone that has ever watched Family Feud
has to enjoy it when Richard Dawson shouts, “Survey saaays…” and then
proceeds to tell
the audience about some interesting survey. We’re hoping to
make it that easy to both share and get access to claims process
benchmarks and best practices.
Q2 2007 EDI Survey
The goal of our EDI survey is to gather data and best practices
on claim EDI submission rate progress.
EDI is a poster child metric for progress in the claims process. Our experience
has been that most carriers have seen their EDI rates rise from approximately 40% to
approximately 70% in the past five years.
Q2 2007 COB Survey
The goal of our COB survey is to gather data and best practices
on claim Coordination Rates for commercial and non-commercial lines of
business.
COB is a pretty complicated component of the claims process. Coordinating payment across
more than one payer generally has more manual steps, a higher incidence of accuracy issues,
and higher rates of both denials and adjustments. Coordination is not easy. This is our first
COB survey -- which means we might see version 2 sometime in 2008 based on what we learn this quarter.