Health Insurance Benchmarking Report
This 62-page benchmarking report includes benchmarking data for 22 health insurance operations KPIs including Claim Settlement Cycle Time, Revenue per Health Plan Member and more. Each KPI in this report includes a chart outlining high-to-low performer data, a detailed KPI definition, calculation instructions and a summary of high-performing company attributes. Stop operating in the dark - benchmarking is a major step in identifying potential improvements within any health insurance company. This report will give you a head start that you can't find anywhere else.
Which metrics, or KPIs, are included in this report?
This 62-page report includes benchmarking data (in easy-to-understand chart format), detailed definitions, measurement instructions and high-performer characteristics for the following 22 Key Performance Indicators (KPIs):
- Benefit Accuracy Rate
- Claim Settlement Cycle Time (Medical)
- Claims Auto-Adjudication Rate
- Claims Denial Rate (Medical/Health)
- Claims First Pass Resolution Rate
- Contracted Fee Schedule Match Rate
- Cost per Claim (Medical)
- ERA Accuracy Rate
- ERA Transparency Rate
- Health Plan Members Per Employee
- Medical Loss Ratio (MLR)
- New Member Enrollment (Electronic) Cycle Time
- New Member Enrollment (Manual) Cycle Time
- New Member Enrollment Accuracy Rate
- Patient Eligibility Accuracy Rate
- Percentage of Charges Transferred
- Percentage of Claim Lines Paid $0
- Percentage of Claims Completed Within 15 Days
- Percentage of Member ID Card Renewals Received On-Time
- Percentage of New Member ID Cards Received On-Time
- Provider Enrollment Request Cycle Time
- Revenue per Health Plan Member
Download a Sample Health Insurance Benchmarking Report
Frequently Asked Questions
Q: How do you collect and validate your data?
A: From real-world consulting engagements with Fortune 500 leaders. We’ve spent 25 years conducting original research and anonymizing data from our engagements with top companies around the world. Every single data point we collect is scrutinized by our analysts to conform to established baselines and our rigorous in-house validation process. We won’t serve it up to you unless it meets our tough standards for utility and value.
Q: How much information will my Benchmarking Report contain?
A: Enough to produce a useful benchmark. And rest assured that it’s all current, validated, and useful. We only include data that’s been collected in the last five years. And while sample sizes vary by KPI, the average is 25, and the high end can surpass 1,000.
Q: How often do you update your reports?
A: Every year. We’re constantly gathering, scouring, and processing new data. We update our reports based on trends our analysts detect in the data, as well as the demand from our consulting clients and customers like you.
Q: Your download-able reports look great. But I need something custom. Can you help?
A: Heck yes. Our crack research teams just love custom assignments, and would be delighted to perform targeted research tailored to your specific requirements. Find out just how fast and affordable this is: Email us (email@example.com) or call us at 866.650.2888 and one of our friendly professionals will be happy to answer all your questions.
Health Insurance Customer Service
This workflow template illustrates the processing of inbound contacts (phone or email) from health insurance customers, or members, and the subsequent resolution of customer requests and/or...
Type : Workflow Template
Process Participants : Health Plan Members (Customers), Customer Service Representatives, Customer Service Specialists, Account Processing Staff