Percentage of Charges Transferred
This PDF report includes benchmarking data (in a visual, chart-based format), an comprehensive KPI definition, characteristics of high performers and technical details on measuring Percentage of Charges Transferred. Purchase and download this easy-to-understand, presentation-ready report immediately to compare performance levels, set attainable performance targets, and push towards best-in-class performance for this KPI.
What is Percentage of Charges Transferred?
The dollar amount of healthcare expenses (e.g., co-insurance, deductibles, or other non-covered medical services) that are transferred from the primary insurer to the next responsible party at the time of adjudication divided by the total liability amount sought by healthcare providers over the same time period, as a percentage.
Why should Percentage of Charges Transferred be measured?
Percentage of Charges Transferred measures the amount of medical costs that the health insurance company transfers to the next responsible party for further collections (i.e., the primary health insurer deems that they are not responsible for paying this portion of the expenses, placing additional burden on healthcare providers to collect those funds from another party). When medical charges are transferred in this manner, it causes a significant amount of additional work (i.e., collecting from next responsible party) for healthcare providers (e.g., doctors, hospitals, etc.), which can diminish relationships with both providers and, in some cases, policyholders who may be held responsible for additional charges.
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