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MedBen Claims Accuracy Exceeds The Norm

06/20/12

  02:30:31 pm, by MedBen5   , 235 words,  
Categories: News, Health Plan Management

MedBen Claims Accuracy Exceeds The Norm

Medical claims payment accuracy by U.S health insurers has improved in 2012 compared to last year, according to the American Medical Association.

The AMA’s National Health Insurer Report Card, which uses data from several larger insurers, says that 9.5% of claims were incorrectly processed in the beginning of this year, compared to 19% in 2012. That improvement represents about $8 billion in savings from additional administrative work to correct errors, the report adds.

The Chicago Sun-Times notes that the AMA considers a claim inaccurate based on whether the physician got paid what they were expected to, so its criteria for accuracy differs somewhat from insurers. Still, insurers have take measures to boost effectiveness, says Robert Zirkelbach, a spokesman for America’s Health Insurance Plans.

At MedBen, we’re all about exceeding expectations. That’s why every aspect of our claims processing operations, from transmission to payment, strictly follows established company standards to ensure efficiency, accuracy and security.

Independent CPAs review every procedure related to MedBen’s claims operating system, and have repeatedly reported no findings in annual SAS 70 audits. In addition, internal staff members review 5% of each examiner’s claims every day – a level unmatched by other health benefit managers.

The results of this attention to detail? Procedural accuracy of 97% in claims processing last year – and financial accuracy of 99%.

For additional information about MedBen’s claims accuracy measures, contact Vice President of Sales and Marketing Brian Fargus at 888-627-8683.

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