Performance
We strive to continuously improve what we do. We constantly monitor and measure the timeliness and quality of the services we provide for our members and our network participants. We'd like to share how well we perform. We've listed some common indicators our industry uses to measure the quality of services insurance plans provide. Our performance standards are based on the average performance across all product lines offered by BlueChoice HealthPlan. See how we stack up to the industry averages!
How quickly do we answer your calls? Measured by the seconds a caller waits on hold:
Insurance Industry Benchmark: Less than 30 seconds
BlueChoice HealthPlan's Performance: 9 seconds
The accuracy in which we respond to your questions or inquiries. Measured as a percentage of accurate responses:
Insurance Industry Benchmark: 99% responded to accurately
BlueChoice HealthPlan's Performance: 99.2% accuracy
The amount of time you receive a busy signal when you call our customer service lines. Measured as a percentage of time our phone lines are busy:
Insurance Industry Benchmark: Less than 3% of the time
BlueChoice HealthPlan's Performance: 0% of the time
The amount of time it takes us to resolve an inquiry from a member or network participant. Measured in percentage completed in seven days.
Insurance Industry Benchmark: 90% of inquiries completed in 7 days
BlueChoice HealthPlan's Performance: 99.9% completed in 7 days
How quickly we process your claims. Measured by the average number of days to process a claim.
Insurance Industry Benchmark: Average of 7 days
BlueChoice HealthPlan's Performance: Average of 1.8 days
The accuracy in which we process your claims. Measured as a percentage of claims processed accurately.
Insurance Industry Benchmark: At least 97% accuracy
BlueChoice HealthPlan's Performance: 99.5% accuracy
The speed in which we set up your eligibility information.
Insurance Industry Benchmark: 99% set up in 30 days
BlueChoice HealthPlan's Performance: 100% in 5 days
The accuracy in which we set up your eligibility information. Measured as percentage of enrollment applications processed correctly.
Insurance Industry Benchmark: At least 99% accuracy
BlueChoice HealthPlan's Performance: 99.9% accuracy