June 14, 2010

2010 National Health Insurer Report Card

A review of medical claim processing accuracy among seven large health plans found that one-in-five claims were processed incorrectly in February and March 2010. The review has been conducted for three years as part of the American Medical Association's (AMA) "Heal the Claims Process" campaign launched in 2008 with the goal of showing how claims administration affects the cost of health care. For the 2010report, AMA researchers reviewed claims processing accuracy rates for seven large health plans: Aetna, Anthem Blue Cross and Blue Shield, CIGNA Corp., Coventry Health Care, Health Care Service Corporation, Humana, Inc., and UnitedHealth Group. The highest accuracy rate of 88% was held by Coventry Health Care, Inc. The lowest accuracy rate of 74% was held by Anthem Blue Cross Blue Shield.