| FI |
Paid Claims Error Rate |
Type of Error |
| No Documentation |
Insufficient Documentation |
Medically Unnecessary Services |
Incorrect Coding |
Other |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| Empire CT/DE/NY 00308 |
9.5% |
0.0% |
0.4% |
0.3% |
8.8% |
0.0% |
| Medicare NW ID/OR/UT 00350 |
5.5% |
0.5% |
3.8% |
0.3% |
0.9% |
0.1% |
| COSVI PR/VI 57400 |
4.5% |
1.2% |
2.6% |
0.2% |
0.5% |
0.0% |
| Highmark Medicare Services DC/MD 00366 |
3.1% |
0.0% |
1.1% |
0.4% |
0.7% |
0.9% |
| UGS AS/CA/GU/HI/NV/NMI 00454 |
2.8% |
0.1% |
0.5% |
0.7% |
1.4% |
0.2% |
| BCBS AR AR 00020 |
2.6% |
0.2% |
0.7% |
0.1% |
1.5% |
0.0% |
| Veritus PA 00363 |
2.5% |
0.0% |
0.9% |
0.4% |
1.2% |
0.0% |
| Mutual of Omaha (all states) 52280 |
2.4% |
0.1% |
1.1% |
0.1% |
1.1% |
0.2% |
| AdminaStar IN/IL/KY/OH 00130/00131/00160/00332 |
2.3% |
0.0% |
1.1% |
0.2% |
0.9% |
0.0% |
| Noridian AK/WA 00322 |
2.3% |
1.2% |
0.4% |
0.1% |
0.5% |
0.1% |
| Trispan LA/MO/MS 00230 |
2.2% |
0.2% |
0.4% |
0.6% |
0.9% |
0.1% |
| UGS WI/MI 00450/00452 |
2.2% |
0.3% |
1.0% |
0.2% |
0.6% |
0.1% |
| BCBS WY WY 00460 |
2.2% |
0.1% |
0.9% |
0.0% |
0.4% |
0.7% |
| Palmetto NC 00382 |
1.8% |
0.0% |
0.8% |
0.4% |
0.4% |
0.1% |
| UGS VA/WV 00453 |
1.7% |
0.0% |
0.2% |
0.1% |
1.2% |
0.1% |
| Anthem ME/MA 00180/00181 |
1.7% |
0.1% |
0.5% |
0.1% |
1.0% |
0.0% |
| First Coast Service Options FL 00090 |
1.6% |
0.1% |
0.7% |
0.2% |
0.5% |
0.0% |
| BCBS GA GA 00101 |
1.6% |
0.1% |
0.5% |
0.1% |
0.8% |
0.0% |
| Riverbend NJ/TN 00390 |
1.4% |
0.1% |
0.6% |
0.2% |
0.5% |
0.1% |
| Palmetto SC 00380 |
1.3% |
0.1% |
0.3% |
0.1% |
0.4% |
0.4% |
| BCBS AZ AZ 00030 |
1.3% |
0.0% |
0.5% |
0.0% |
0.8% |
0.0% |
| Cahaba AL 00010 |
1.3% |
0.5% |
0.3% |
0.1% |
0.4% |
0.0% |
| Anthem NH/VT 00270 |
1.3% |
0.0% |
0.7% |
0.2% |
0.4% |
0.0% |
| BCBS AR RI 00021 |
1.2% |
0.0% |
0.5% |
0.2% |
0.5% |
0.0% |
| Noridian MN/ND 00320/00321 |
1.1% |
0.0% |
0.5% |
0.1% |
0.6% |
0.0% |
| BCBS MT MT 00250 |
1.1% |
0.0% |
0.7% |
0.0% |
0.4% |
0.0% |
| BCBS KS KS 00150 |
1.1% |
0.0% |
0.3% |
0.3% |
0.4% |
0.0% |
| Chisholm OK 00340 |
0.9% |
0.1% |
0.2% |
0.0% |
0.5% |
0.0% |
| Trailblazer CO/NM/TX 00400 |
0.8% |
0.1% |
0.3% |
0.1% |
0.3% |
0.0% |
| Cahaba IA/SD 00011 |
0.5% |
0.0% |
0.1% |
0.0% |
0.4% |
0.0% |
| BCBS NE NE 00260 |
0.4% |
0.0% |
0.2% |
0.0% |
0.2% |
0.0% |
| Combined |
2.3% |
0.1% |
0.7% |
0.2% |
1.2% |
0.2% |