Percent of Claims Paid with No Contract Holder on File Percent of Claims Paid with No Contract Holder on File October 27, 2009 No claim should be paid unless a contract holder (employee or retiree) exists. But, two-thirds of the plans we reviewed failed this most basic test. The chart below highlights the distribution of client plans according to the percent of claims paid with no contract holder present in the enrollment file. The largest group of plans (32.61%) met the goal of 0% claim payment error. Another 30.43% had an error rate below 0.5%. However, an equivalent proportion (30.43%) exceeded the 0.5% error threshold. Of this top group, 21.74% had over 1.0% error. Each 1.0% error translates into an estimated $7000 for each 100 employees; or an amount equivalent to another employee contract. The average error rate was 1.27% with the highest recorded error in our population coming in at 18.74%. Wednesday, June 13, 2012 1:23:00 PM Categories: How Do You Compare? Previous Post << >> Next Post This room contains pieces drawn from my experiences at Health Decisions. It offers practical advice for anyone involved in managing group health plan expenses. From the present, this room contains articles and reports by others that I wanted to share. Reasons for sharing will vary, so expect a potpourri. This room provides reference points and norms I have observed or documented that can be used by persons trying to get their bearings in the often confusing world of group health. This room contains my views on the future of the US health care system. My intent is not to convince anyone, but to broaden the discussion beyond the political debate that passes for health reform in America. This room contains recordings and trasncripts of conversations I've had with interesting people I have had the privilege of meeting. Some are friends, some professional acquantances; all have interesting perspectives worth sharing. From the past, this room contains some of the talks and articles I have done that I thought were worth sharing. Use the above navigation buttons to filter Si's Library by category.