• Over the period of a decade, there has been a steady increase in the percent-age of claims received electronically by health plans.
• Nine out of 10 claims are processed within 21 days of receipt.
• More than one-quarter of claims (28 percent) are received more than 30 days after the date of service. Almost 16 percent of claims are received more than
60 days after health care services have been provided to the patient.
60 days after health care services have been provided to the patient.
• Lack of information and the need to coordinate benefits between multiple insurance coverages were the primary reasons for pending claims.
• Almost half of all claim denials (48 percent) are due to the submission of duplicate claims.
Tags:
Insurance claim survey