Health Insurance KPIs, Metrics & Benchmarks

Buy Health Plans KPI Benchmarking “Data-as-a-Service” Products from Opsdog

Opsdog.com sells Health Plans KPI and benchmarking data in three different ways.

1. Comprehensive Health Plans KPI benchmarking reports bundles that include 10 to 80+ measured KPIs.
   • Price range is from $750-$2000 per report
   • Instant download
2. Individual Health Plans KPI benchmarks that contain 1 benchmarked KPI –
   • Price range is $50-$65 per individual benchmarked KPI
   • Instant download
3. Custom Health Plans benchmarking KPI Data-as-a-Service projects and consulting engagements
   • 3-10 week long KPI benchmarking projects
   • Price varies based on scope
   • Hybrid on-site/off-site low-cost model

Browse Instant Download Health Plans KPI and Benchmarking Products for Purchase Below

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KPI's & Data

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Total Handle Time by Call Reason: Provider Inquiry

The total time required to handle a single customer call, or a group of calls, related to an inquiry about network healthcare providers over a certain period of time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Application Inquiry

The total amount of time required to handle a single incoming customer call related to the status of their insurance application, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Benefits Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about health plan benefits, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Billing Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about their bill(s), not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Broker Inquiry

The total amount of time required to handle a single incoming call from an insurance broker selling the firm's health plan products, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

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KPI's & Data

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Total Talk Time by Call Reason: Claims

The total amount of time required to handle a single incoming call from a customer inquiring about a health insurance claim, not including after-call work (wrap time) or hold time. These cal...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Cost Estimate

The total amount of time required to handle a single incoming call from a customer inquiring about cost estimates (out-of-pocket costs, etc.) related to the status of their insurance applica...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Deductible

The total amount of time required to handle a single incoming call from a customer inquiring about his or her health insurance deductibles, not including after-call work (wrap time) or hold...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Default

The total amount of time required to handle a single incoming call from a customer inquiring about past due medical bills or premium payments, not including after-call work (wrap time) or ho...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Eligibility Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about health plan coverage, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Issue Escalation

The total amount of time required to handle a single incoming call from a customer deemed to be an escalation, issue which required "escalation" to a manager or supervisor, not including aft...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Financial Assistance Program

The total amount of time required to handle a single incoming call from a customer inquiring about the health plan financial assistance program eligibility and coverage, not including after-...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: General Inquiry

The total amount of time required to handle a single incoming call from a customer with a general inquiry, not including after-call work (wrap time) or hold time. Calls that can not be segme...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: ID Card Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about health plan membership ID cards, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Medicaid

The total amount of time required to handle a single incoming call from a customer inquiring about Medicaid coverage, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Medicare

The total amount of time required to handle a single incoming call from a customer inquiring about Medicare coverage, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

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KPI's & Data

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Total Talk Time by Call Reason: Not a Member

The total amount of time required to handle a single incoming call from an individual that is not currently a health plan member, or customer, not including after-call work (wrap time) or ho...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Order ID Card

The total amount of time required to handle a single incoming call from a customer inquiring about ordering new health plan membership ID cards, not including after-call work (wrap time) or...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Payment Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about making a current bill payment, or about a recent or upcoming bill, not including after-call...

KPI Type : Productivity

KPI's & Data

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Total Talk Time by Call Reason: Provider Inquiry

The total amount of time required to handle a single incoming call from a customer inquiring about network healthcare providers, not including after-call work (wrap time) or hold time.

KPI Type : Productivity

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KPI's & Data

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Total Hold Time by Call Reason: Application Inquiry

The total amount of time that customers wait on hold during calls related to the status of their insurance application over a certain period of time.

KPI Type : Service

KPI's & Data

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Total Hold Time by Call Reason: Benefits Inquiry

The total amount of time that customers inquiring about health plan benefits wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

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Total Hold Time by Call Reason: Billing Inquiry

The total amount of time that customers inquiring over their bill(s) wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

NULL

Total Hold Time by Call Reason: Broker Inquiry

The total amount of time that insurance brokers selling the firm's health plan products wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

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Total Hold Time by Call Reason: Claims

The total amount of time that customers inquiring about a health insurance claim wait on hold during calls over a certain period of time. These calls include general claims inquiries, disput...

KPI Type : Service

KPI's & Data

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Total Hold Time by Call Reason: Cost Estimate

The total amount of time that customers inquiring about cost estimates (out-of-pocket costs, etc.) wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

NULL

Total Hold Time by Call Reason: Deductible

The total amount of time that customers inquiring about their health insurance deductibles wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

NULL

Total Hold Time by Call Reason: Default

The total amount of time that customers inquiring about past due medical bills or premium payments wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

NULL

Total Hold Time by Call Reason: Eligibility Inquiry

The total amount of time that customers inquiring about their health plan coverage wait on hold during calls over a certain period of time.

KPI Type : Service

KPI's & Data

NULL

Total Hold Time by Call Reason: Issue Escalation

The total amount of time that customers wait on hold during calls that were escalations, issues which required "escalation" to a manager or supervisor, over a certain period of time.

KPI Type : Service

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