Does a claim submitted by a physician have a different claim paid ratio than those submitted by phone or web? You bet. Is it valuable to dig into these differences to make more informed decisions? Absolutely.
Don’t stop there. Couple this claims information with other salient data. Which call centers are processing the claims? How does claim status vary by region, by call center?
Insights like these help managers, brokers, and administrators quickly identify ways to optimize call center resources, improve claims processing procedures, and identify potentially fraudulent patterns.
Click on the visualization to see how claims status varies by region and how the claim was initiated.