10 Payers With the Best Eligibility Accuracy

Cloud-based software services provider athenahealth has released its 2014 PayerView Report, which leverages the company's data to provide insight into provider-payer relationships and ranks healthcare payers based on various metrics.

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

More Articles on Healthcare Payers:
10 Payers With the Lowest Denial Rates
10 Payers With the Lowest Provider Collection Burden
10 Top-Performing Healthcare Payers 


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