If you've ever wondered how your health insurance company done regarding the claims and payment for doctors, a former three-year star system may tell you
More than 130 health insurance companies were rated and ranked by Athenahealth, Inc. . - .. a company providing medical business management tools for doctors
Each insurer is assessed based on a number of different factors. The most important factors are how quickly an insurance company makes payments to physicians, how they resolve the claims, and how many claims they deny.
This year, the most effective insurance company Aetna, Inc.
Here Aetna statistics, according Athenahealth - they take on average 27 days to pay doctors for their services solve 96 percent of the claims on the first try, and to deny that 5.9 percent of applications, reported wall. Street Journal
The next best was insurer CIGNA - they pay doctors an average of 33 days, set 96 percent of applications, and refuse to 6.6 percent
the worst performance wasn '. Does a private insurer, but the Medicaid program in the state of New York. They take an average of 137 days to pay doctors, solve only 57 percent of requests, and deny 39 percent.
This is the third year of rating of the insurer, wrote the WSJ article, in order to bring more transparency in the health care industry and health insurance.
That these rankings and performance statistics are quite accurate is disputed, but probably at least provides an overview of how an insurer operates.
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