Insurance Claims Processing Times Twelve

Simple shift could give 10,000 kids insurance

Lynn Bonner, Staff Writer
The state could save nearly $16 million and use the money to provide about 10,000 more children with government-sponsored health insurance by switching responsibility for handling medical bills from one state office to another, according to a state audit.

The state Department of Health and Human Services can process claims for the state children's health insurance plan cheaper than the state health plan, said a report that State Auditor Les Merritt's office issued Tuesday.

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The health and human services department uses Electronic Data Systems Corp. to process Medicaid claims at a cost of 41 cents per claim. It costs about 12 times more, or $4.88, to process a medical claim through the state health plan, which uses Blue Cross and Blue Shield of North Carolina, the audit said.


Four dollars and eighty-eight cents versus forty-one cents. Sounds like BCBSNC needs to talk to EDS about how to save money on claims processing.
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