10 Payers With the Highest First-Pass Resolve Rate

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.

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One of those metrics is first-pass resolve rate, or the percentage of claims successfully resolved on the initial submission. Here are 10 of the payers with the highest first-pass resolve rates.

1. Medicare Part B of Missouri — 98 percent
2. Blue Cross Blue Shield of Oregon — 97.9 percent
3. Medicare Part B of Indiana — 97.9 percent
4. Medicare Part B of Massachusetts — 97.8 percent
5. Medicare Part B of North Carolina — 97.7 percent
6. Medicare Part B of Oregon — 97.7 percent
7. Medicare Part B of Ohio — 97.6 percent
8. Medicare Part B of Illinois — 97.4 percent
9. Medicare Part B of South Carolina — 97.4 percent

More Articles on Healthcare Payers:
10 Payers With the Least Days in Accounts Receivable
10 Payers With the Best Enrollment Efficiency
10 Payers With the Most Benefit Reliability 

 

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