* Is High or Low Best: Higher is Better
Percentage New Member ID Cards Received On-Time measures number of ID cards for new health plan members that were received on or before the effective date in relation to the total number of new member ID cards sent over the same period of time. A relatively low value for this metric is typically related to a few common factors, including highly manual new member enrollment processes (i.e., manually reviewing enrollment applications, manual data entry, etc.), inefficient call script and customer communication policies (especially concerning on-time communications), poor customer contact tracking and management (i.e., tracking of customer communications and contact information), inefficient distribution practices (includes poor performance by distribution vendors), and sub-par member services employee training and performance. Each of these factors can lead to increased error rates (i.e., new member ID cards being sent to the wrong address, etc.), longer cycle times and increased customer dissatisfaction which can vastly increase operating expenses (i.e., rework, time spent fixing errors and obtaining needed information from customers, etc.) and customer attrition rates.
The number of ID cards for new health plan members that were received on or before the effective date divided by the total number of new member ID cards sent over the same period of time, as a percentage.
Two numbers are used to calculate this KPI: (1) the number of ID cards for new health plan members that were received on or before the effective date, and (2) the total number of new member ID cards sent over the same period of time. The effective date on ID cards is considered to be the calendar date in which the policy new health plan members have been enrolled in becomes active. Health insurance ID cards typically contain the personal information (i.e., name, member ID number, group number, etc.) of the appropriate health plan member, the name of the insurer and their member services contact number, the plan type (i.e., HMO, POS, PPO), any benefits that are a part of the health plan (i.e., vision, dental and prescription drug benefits, etc.), and other important relevant information (i.e., important telephone numbers,websites, etc.).
(Number of New Member ID Cards Received On-Time / Total Number of New Member ID Cards Sent) * 100
The number of accurate new member health plan enrollments completed (i.e., enrollments that do not have errors, or missing information/documentation) divided by the total number of enrollmen...
KPI Type : Quality
Formula : (Accurate New Member Enrollments / Total Enrollments Processed) * 100
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