Here are 86 statistics from the National Health Insurer Report Card on how quickly private and government payers reimburse providers, according to the American Medical Association.
What percentage of the time do payers disclose the date claims are received in their electronic remittance advice or explanation of benefits response to physicians?
Aetna
• 2008: 100 percent
• 2009: 99.99 percent
• 2010: 95.73 percent
• 2011: 99.97 percent
• 2012: 99.99 percent
• 2013: 99.90 percent
Anthem
• 2008: 99.21 percent
• 2009: 61.07 percent
• 2010: 51.88 percent
• 2011: 31.17 percent
• 2012: 98.69 percent
• 2013: 99.68 percent
Cigna
• 2008: 0 percent
• 2009: 0.04 percent
• 2010: 99.43 percent
• 2011: 99.36 percent
• 2012: 99.19 percent
• 2013: 99.61 percent
HCSC
• 2010: 93.47 percent
• 2011: 100 percent
• 2012: 99.99 percent
• 2013: 99.98 percent
Humana
• 2008: 0.07 percent
• 2009: 39.84 percent
• 2010: 92.66 percent
• 2011: 99.98 percent
• 2012: 99.97 percent
• 2013: 99.98 percent
Regence
• 2011: 0.11 percent
• 2012: 80.73 percent
• 2013: 93.17 percent
UHC
• 2008: 99.98 percent
• 2009: 99.89 percent
• 2010: 91.69 percent
• 2011: 99.69 percent
• 2012: 99.87 percent
• 2013: 96.95 percent
Medicare
• 2008: 99.99 percent
• 2009: 99.95 percent
• 2010: 95.05 percent
• 2011: 99.95 percent
• 2012: 99.95 percent
• 2013: 99.96 percent
Median days for first remittance response
Aetna
• 2008: 13
• 2009: 12
• 2010: 13
• 2011: 14
• 2012: 14
• 2013: 14
Anthem
• 2008: 7
• 2009: 8
• 2010: 9
• 2011: 9
• 2012: 7
• 2013: 7
Cigna
• 2008: 14
• 2009: 12
• 2010: 6
• 2011: 7
• 2012: 7
• 2013: 7
HCSC
• 2010: 8
• 2011: 6
• 2012: 6
• 2013: 7
Humana
• 2008: 13
• 2009: 9
• 2010: 11
• 2011: 6
• 2012: 6
• 2013: 6
Regence
• 2011: 15
• 2012: 9
• 2013: 9
UHC
• 2008: 10
• 2009: 9
• 2010: 10
• 2011: 10
• 2012: 11
• 2013: 11
Medicare
• 2008: 14
• 2009: 14
• 2010: 14
• 2011: 14
• 2012: 14
• 2013: 14
More articles on coding and billing:
Are mergers driving up the cost of healthcare: 4 things to know
When negotiating contracts, look to the future
Does Medicare reimbursement favor surgeons?
What percentage of the time do payers disclose the date claims are received in their electronic remittance advice or explanation of benefits response to physicians?
Aetna
• 2008: 100 percent
• 2009: 99.99 percent
• 2010: 95.73 percent
• 2011: 99.97 percent
• 2012: 99.99 percent
• 2013: 99.90 percent
Anthem
• 2008: 99.21 percent
• 2009: 61.07 percent
• 2010: 51.88 percent
• 2011: 31.17 percent
• 2012: 98.69 percent
• 2013: 99.68 percent
Cigna
• 2008: 0 percent
• 2009: 0.04 percent
• 2010: 99.43 percent
• 2011: 99.36 percent
• 2012: 99.19 percent
• 2013: 99.61 percent
HCSC
• 2010: 93.47 percent
• 2011: 100 percent
• 2012: 99.99 percent
• 2013: 99.98 percent
Humana
• 2008: 0.07 percent
• 2009: 39.84 percent
• 2010: 92.66 percent
• 2011: 99.98 percent
• 2012: 99.97 percent
• 2013: 99.98 percent
Regence
• 2011: 0.11 percent
• 2012: 80.73 percent
• 2013: 93.17 percent
UHC
• 2008: 99.98 percent
• 2009: 99.89 percent
• 2010: 91.69 percent
• 2011: 99.69 percent
• 2012: 99.87 percent
• 2013: 96.95 percent
Medicare
• 2008: 99.99 percent
• 2009: 99.95 percent
• 2010: 95.05 percent
• 2011: 99.95 percent
• 2012: 99.95 percent
• 2013: 99.96 percent
Median days for first remittance response
Aetna
• 2008: 13
• 2009: 12
• 2010: 13
• 2011: 14
• 2012: 14
• 2013: 14
Anthem
• 2008: 7
• 2009: 8
• 2010: 9
• 2011: 9
• 2012: 7
• 2013: 7
Cigna
• 2008: 14
• 2009: 12
• 2010: 6
• 2011: 7
• 2012: 7
• 2013: 7
HCSC
• 2010: 8
• 2011: 6
• 2012: 6
• 2013: 7
Humana
• 2008: 13
• 2009: 9
• 2010: 11
• 2011: 6
• 2012: 6
• 2013: 6
Regence
• 2011: 15
• 2012: 9
• 2013: 9
UHC
• 2008: 10
• 2009: 9
• 2010: 10
• 2011: 10
• 2012: 11
• 2013: 11
Medicare
• 2008: 14
• 2009: 14
• 2010: 14
• 2011: 14
• 2012: 14
• 2013: 14
More articles on coding and billing:
Are mergers driving up the cost of healthcare: 4 things to know
When negotiating contracts, look to the future
Does Medicare reimbursement favor surgeons?