Here are 48 statistics on the percentage of claim lines denied for reasons other than a claim edit between 2008 and 2013 by specific payer, according to the American Medical Association.
Aetna
• 2008: 6.8 percent
• 2009: 1.81 percent
• 2010: 2.57 percent
• 2011: 1.38 percent
• 2012: 4 percent
• 2013: 1.5 percent
Anthem
• 2008: 4.62 percent
• 2009: 4.34 percent
• 2010: 4.5 percent
• 2011: 3.62 percent
• 2012: 5.07 percent
• 2013: 2.64 percent
Cigna
• 2008: 3.44 percent
• 2009: 2.56 percent
• 2010: 0.67 percent
• 2011: 0.68 percent
• 2012: 1.39 percent
• 2013: 0.54 percent
Health Care Service Corporation
• 2010: 2.67 percent
• 2011: 1.59 percent
• 2012: 3.06 percent
• 2013: 1.7 percent
Humana
• 2008: 2.9 percent
• 2009: 2.03 percent
• 2010: 2.18 percent
• 2011: 2.33 percent
• 2012: 1.97 percent
• 2013: 1.97 percent
Regence
• 2011: 1.36 percent
• 2012: 1.38 percent
• 2013: 1.18 percent
UnitedHealthcare
• 2008: 2.68 percent
• 2009: 2.02 percent
• 2010: 2.21 percent
• 2011: 1.05 percent
• 2012: 1.71 percent
• 2013: 1.18 percent
Medicare
• 2008: 6.85 percent
• 2009: 4 percent
• 2010: 3.82 percent
• 2011: 2.73 percent
• 2012: 3.78 percent
• 2013: 4.92 percent
More articles on coding and billing:
3 tips to rejuvenate ASC, physician practice revenue cycle
CMS: 3 New ICD-10 testing weeks
Are physicians fueling the price transparency trend?
Aetna
• 2008: 6.8 percent
• 2009: 1.81 percent
• 2010: 2.57 percent
• 2011: 1.38 percent
• 2012: 4 percent
• 2013: 1.5 percent
Anthem
• 2008: 4.62 percent
• 2009: 4.34 percent
• 2010: 4.5 percent
• 2011: 3.62 percent
• 2012: 5.07 percent
• 2013: 2.64 percent
Cigna
• 2008: 3.44 percent
• 2009: 2.56 percent
• 2010: 0.67 percent
• 2011: 0.68 percent
• 2012: 1.39 percent
• 2013: 0.54 percent
Health Care Service Corporation
• 2010: 2.67 percent
• 2011: 1.59 percent
• 2012: 3.06 percent
• 2013: 1.7 percent
Humana
• 2008: 2.9 percent
• 2009: 2.03 percent
• 2010: 2.18 percent
• 2011: 2.33 percent
• 2012: 1.97 percent
• 2013: 1.97 percent
Regence
• 2011: 1.36 percent
• 2012: 1.38 percent
• 2013: 1.18 percent
UnitedHealthcare
• 2008: 2.68 percent
• 2009: 2.02 percent
• 2010: 2.21 percent
• 2011: 1.05 percent
• 2012: 1.71 percent
• 2013: 1.18 percent
Medicare
• 2008: 6.85 percent
• 2009: 4 percent
• 2010: 3.82 percent
• 2011: 2.73 percent
• 2012: 3.78 percent
• 2013: 4.92 percent
More articles on coding and billing:
3 tips to rejuvenate ASC, physician practice revenue cycle
CMS: 3 New ICD-10 testing weeks
Are physicians fueling the price transparency trend?