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: Application Inquiry

The total time required to handle a single customer call, or a group of calls, related to the status of their insurance application over a certain period of time. Includes after-call work an...

KPI Type : Productivity

KPI's & Data

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Total Volume: New Member ID Cards Sent

The number of ID cards for new health plan members that were sent (through mail, email, etc.) to said health plan members over a certain period of time.

KPI Type : Volume

KPI's & Data

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Total Volume: Member ID Card Renewals

The number of renewed ID cards for existing health plan members that were sent (through mail, email, etc.) to said health plan members over a certain period of time.

KPI Type : Volume

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KPI's & Data

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Total Volume: New Member Enrollment Reviews

The number of new member enrollment reviews completed over a certain period of time. Enrollment reviews include a review of all new member information to ensure that eligibility requirements...

KPI Type : Volume

KPI's & Data

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SLA Adherence: Member ID Card Reception

The number of health plan member ID cards received by customers within ten days of their request submission divided by the total number of ID cards sent over the same period of time, as a pe...

KPI Type : Service

KPI's & Data

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SLA Adherence: New Member Enrollment Review

The number of enrollment reviews completed within the timeframe defined by the company's service level agreement (SLA) divided by the total number of enrollment reviews completed over the sa...

KPI Type : Service

KPI's & Data

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Calls Offered by Call Reason: Provider Inquiry

The total number of incoming calls from customers inquiring about network healthcare providers over a certain period of time. This number includes both calls answered ("handled") by call cen...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Payment Inquiry

The total number of incoming calls from customers inquiring about making a current bill payment, or about a recent or upcoming bill, over a certain period of time. This number includes both...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Order ID Card

The total number of incoming calls from customers inquiring about ordering new health plan membership ID cards over a certain period of time. This number includes both calls answered ("handl...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Not a Member

The total number of incoming calls from individuals that are not currently health plan members, or customers, over a certain period of time. This number includes both calls answered ("handle...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Medicare

The total number of incoming calls from customers inquiring about Medicare coverage over a certain period of time. This number includes both calls answered ("handled") by call center agents...

KPI Type : Volume

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KPI's & Data

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Calls Offered by Call Reason: Medicaid

The total number of incoming calls from customers inquiring about Medicaid coverage over a certain period of time. This number includes both calls answered ("handled") by call center agents...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: ID Card Inquiry

The total number of incoming calls from customers inquiring about their health plan membership ID cards over a certain period of time. This number only includes calls answered ("handled") by...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: General Inquiry

The total number of incoming calls from customers about a general inquiry over a certain period of time. Calls that can not be segmented into a more specific call reason category are counted...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Financial Assistance Program

The total number of incoming calls from customers inquiring about health plan financial assistance program eligibility and coverage over a certain period of time. This number includes both c...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Issue Escalation

The total number of incoming calls from customers that are escalations, an issue which required "escalation" to a manager or supervisor, over a certain period of time. This number includes b...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Eligibility Inquiry

The total number of incoming calls from customers inquiring about their health plan coverage over a certain period of time. This number includes both calls answered ("handled") by call cente...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Default

The total number of incoming calls from customers inquiring about past due medical bills or premium payments over a certain period of time. This number includes both calls answered ("handled...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Deductible Inquiry

The total number of incoming calls from customers inquiring about a health insurance deductibles over a certain period of time. This number includes both calls answered ("handled") by call c...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Cost Estimate

The total number of incoming calls from customers inquiring about cost estimates (out-of-pocket costs, etc.) over a certain period of time. This number includes both calls answered ("handled...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Claims

The total number of incoming calls from customers inquiring about a health insurance claim over a certain period of time. These calls include general claims inquiries, disputes, appeals and...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Broker Inquiry

The total number of incoming calls from insurance brokers selling the firm's health plan products over a certain period of time. This number includes both calls answered ("handled") by call...

KPI Type : Volume

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KPI's & Data

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Calls Offered by Call Reason: Billing Inquiry

The total number of incoming calls from customers inquiring about their bill(s) over a certain period of time. This number includes both calls answered ("handled") by call center agents and...

KPI Type : Volume

KPI's & Data

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Calls Offered by Call Reason: Benefits Inquiry

The total number of incoming calls from customers inquiring about their health plan benefits over a certain period of time. This number includes both calls answered ("handled") by call cente...

KPI Type : Volume

KPI's & Data

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Calls Handled by Call Reason: Billing Inquiry

The total number of incoming calls from customers inquiring about their bill(s) over a certain period of time. This number only includes calls answered ("handled") by call center agents.

KPI Type : Volume

KPI's & Data

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Average Talk Time by Call Reason: Provider Inquiry

The average 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

KPI's & Data

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Calls Handled by Call Reason: Application Inquiry

The total number of incoming calls from customers related to the status of their insurance application over a certain period of time. This number only includes calls answered ("handled") by...

KPI Type : Volume

KPI's & Data

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Calls Handled by Call Reason: Benefits Inquiry

The total number of incoming calls from customers inquiring about their health plan benefits over a certain period of time. This number only includes calls answered ("handled") by call cente...

KPI Type : Volume

KPI's & Data

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Average Talk Time by Call Reason: Payment Inquiry

The average 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-ca...

KPI Type : Productivity

KPI's & Data

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Calls Handled by Call Reason: Broker Inquiry

The total number of incoming calls from insurance brokers selling the firm's health plan products over a certain period of time. This number only includes calls answered ("handled") by call...

KPI Type : Volume

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