Claims clearinghouse and revenue cycle management vendor Emdeon Inc. has published its first annual progress report on the adoption status of electronic financial and administrative transactions in the U.S. health care industry. The report shows electronic claims and remittance advice have been adopted at a higher rate than previously believed.
Nashville, Tenn.-based Emdeon in 2008 founded the U.S. Healthcare Efficiency Index, an industry consortium to collect hard data on the extent to which providers and payers use electronic transactions. Through an extensive search of literature and other research, Emdeon employees conducted a Phase I study in 2008 and estimated the current rate of adoption for electronic claims and related transactions. They estimated in 2008 that 75 percent of claims were electronically submitted, as were 40 percent of eligibility and claims status transactions. Only 10 percent of claim payments were electronic, as were 26 percent of remittance advice transactions. The Phase I study estimated that $30 billion could be saved annually if all these transactions were done electronically.
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