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
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
