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- CareFirst handled more than 35 million claims in 2002, up sharply
from the 27 million in 2001. The number of member inquiries also
increased, from 6.1 million in 2001 to 7.2 million in 2002.
- CareFirst remains on schedule to meet all compliance dates mandated
by the Health Insurance Portability & Accountability Act (HIPAA),
federal legislation creating standards for how personal health
information is shared, used and transmitted. Under HIPAA, CareFirst
and other health care organizations are required to put procedures
in place for keeping member information confidential. HIPAA also
creates standards for the uniform transfer of electronic data,
including claims, enrollment and other routine changes.
- Under the CareFirst initiative, “Get it Right, the First
Time,” claims processing accuracy continued to improve throughout
2002. Claims processing goals for 2003 include raising the accuracy
rate to 98 percent, and to complete processing of 98 percent of
all initial claims within 30 days.
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