Your Practice de Humana

Humana Reclaims Top Spot in Payer Ranking

Dear Physicians and Office Staff:

Humana is working hard to eliminate the "hassle factor" for you. Our goal is to provide a smooth administrative experience by paying claims timely and accurately the first time. We want to be your payer of choice and have committed to many initiatives that we believe will have a dramatic impact in the industry.

We are enhancing capabilities that promote administrative ease, providing transactional transparency, and advancing multipayer solutions in the industry. And, we continue to invest in resources that streamline administrative processes and increase claims payment timeliness and accuracy. We are proud of our claims performance record, which includes:

Claim accuracy rate of more than 99 percent
Auto-adjudication rate of more than 80 percent
Electronic claim submission rate of more than 83 percent
Approximately 93 percent of all claims paid within 14 days; more than 98 percent of claims paid within 30 days.

Making it easier for you to do business with us is our number one priority. Whether it's by launching technologies to make the claims payment process easier and faster, like real-time adjudication (RTA), or by supporting the multipayer provider portal, Availity.com, we are constantly striving to simplify complexity.

We're proud of the fact that our efforts have been recognized by athenahealth^®. According to athenahealth's PayerView^SM rankings, Humana has been named the top payer in the industry.

Since the launch of athenahealth's PayerView, Humana has consistently been recognized as one of the top payers in the industry. athenahealth provides physician billing, practice management and electronic medical record (EMR) services via Web-based software to practices all over the country. PayerView is based on actual claims data derived from athenahealth's athenaNet^® database, and ranks health insurers according to financial and administrative performance and medical policy complexity.

According to PayerView, Humana not only was the fastest paying health plan – but we also were the health plan that denied the fewest claims. PayerView rankings include the following categories:

Days in accounts receivable (A/R)
First pass resolve rate
Denial rate
Percentage of patient liability
Claims denial transparency
Percentage of claims requiring medical documentation
Rate of noncompliance with the Correct Coding Initiative (CCI)

For more details about this year's study, visit athenapayerview.com.

We are excited to see results from our commitment to being the easiest health plan for you to do business with in the industry. We hope you see the results working with Humana every day as well.

We know that there is much work yet to accomplish. So, we will continue to search for the latest technological advances and work with collaborative partners to further advance the administrative simplification and multipayer solutions in the industry. We look forward to continuing to serve you better and faster in the near future.

Atentamente,