One of the factors athenahealth included in its rankings is eligibility accuracy, or the correlation between the payer’s eligibility response and the claim adjudication outcome. Here are the 10 payers with the highest eligibility accuracy rates, according to the report.
1. Tufts Health Plan — 99.6 percent
2. Neighborhood Health Plan — 99.4 percent
3. Blue Medicare of North Carolina — 99.3 percent
4. HealthPartners — 99.1 percent
5. Medica — 99.1 percent
6. Blue Cross Blue Shield of Rhode Island — 99 percent
7. Group Health Cooperative — 99 percent
8. Medicaid of Alabama — 98.9 percent
9. Humana — 98.8 percent
10. Network Health of Massachusetts — 98.8 percent
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