Claims Metrics Provides Industry Benchmarks

As one in a series of benchmarking reports, the NADP Dental Benefits Report – Claims Metrics provides data about common practices in the dental benefits industry.  This report focuses on the claims processing operations of dental plans and includes the following topics:

• Claims processing metrics and performance
• Electronic Claims capabilities and volume
• Metrics and processes for the Coordination of Benefits (COB)
• Metrics and processes for the delivery of electronic Explanation of Benefits (EOB)
• Auto-adjudication metrics
• Processes and metrics for Real Time Adjudication (RTA) and Real-Time Predeterminations
• Use of Artificial Intelligence (AI) in claims review and processing
• Electronic Data Interchange capabilities and Payment Modalities, and Performance Guarantees.

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For more information, contact NADP Director of Research & Information. Jerry Berggren.